The standard charge for Intravenous infusion, for therapy, prophylaxis, or diagnosis- initial infusion is $442.00. 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
$442.00Insurance Discount
-$68.95Price Negotiated by Insurer
$373.05Deductible Applied
-Copay
-Coinsurance
-Your insurance company will pay
-You will owe (Estimate)
Some services may incur additional charges based on the exact care required. Listed below are commonly associated charges with this service and the rate negotiated by your insurance plan. These charges are listed to give you an idea of what types of other services are often required, but not all patients will require these specific services.
Associated service: Revenue Code 250 charges
$33.76Associated service: Revenue Code 258 charges
$32.92HC FC BASIC METABOLIC
$8.02HC FC CBC/AUTO
$5.89HC 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
$442.00Insurance Discount
-$296.14Price Negotiated by Insurer
$145.86Deductible 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.
Associated service: Revenue Code 250 charges
$13.20Associated service: Revenue Code 258 charges
$12.87HC FC BASIC METABOLIC
$3.14HC FC CBC/AUTO
$2.30HC 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
$442.00Insurance Discount
-$188.16Price Negotiated by Insurer
$253.84Deductible 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
$22.97Associated service: Revenue Code 258 charges
$22.40HC FC BASIC METABOLIC
$4.37HC FC CBC/AUTO
$3.21HC 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
$442.00Insurance Discount
-$296.14Price Negotiated by Insurer
$145.86Deductible 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.
Associated service: Revenue Code 250 charges
$13.20Associated service: Revenue Code 258 charges
$12.87HC FC BASIC METABOLIC
$3.14HC FC CBC/AUTO
$2.30HC 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
$442.00Insurance Discount
-$188.16Price Negotiated by Insurer
$253.84Deductible 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
$22.97Associated service: Revenue Code 258 charges
$22.40HC FC BASIC METABOLIC
$4.37HC FC CBC/AUTO
$3.21HC 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
$442.00Insurance Discount
-$165.71Price Negotiated by Insurer
$276.29Deductible 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
$25.00Associated service: Revenue Code 258 charges
$24.38HC FC BASIC METABOLIC
$4.37HC FC CBC/AUTO
$3.21HC 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
$442.00Insurance Discount
-$274.26Price Negotiated by Insurer
$167.74Deductible Applied
-Copay
-Coinsurance
-Your insurance company will pay
-You will owe (Estimate)
Some services may incur additional charges based on the exact care required. Listed below are commonly associated charges with this service and the rate negotiated by your insurance plan. These charges are listed to give you an idea of what types of other services are often required, but not all patients will require these specific services.
Associated service: Revenue Code 250 charges
$15.18Associated service: Revenue Code 258 charges
$14.80HC FC BASIC METABOLIC
$3.61HC FC CBC/AUTO
$2.65HC 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
$442.00Insurance Discount
-$281.55Price Negotiated by Insurer
$160.45Deductible 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
$14.52Associated service: Revenue Code 258 charges
$14.16HC FC BASIC METABOLIC
$3.45HC FC CBC/AUTO
$2.53HC 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
$442.00Insurance Discount
-$216.58Price Negotiated by Insurer
$225.42Deductible 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
$20.40Associated service: Revenue Code 258 charges
$19.89HC FC BASIC METABOLIC
$4.84HC FC CBC/AUTO
$3.56HC 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
$442.00Insurance Discount
-$60.55Price Negotiated by Insurer
$381.45Deductible 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
$34.52Associated service: Revenue Code 258 charges
$33.66HC FC BASIC METABOLIC
$8.20HC FC CBC/AUTO
$6.02HC 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
$442.00Insurance Discount
-$53.04Price Negotiated by Insurer
$388.96Deductible 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
$35.20Associated service: Revenue Code 258 charges
$34.32HC FC BASIC METABOLIC
$8.36HC FC CBC/AUTO
$6.14HC 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
$442.00Insurance Discount
-$35.14Price Negotiated by Insurer
$406.86Deductible 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.
Associated service: Revenue Code 250 charges
$36.82Associated service: Revenue Code 258 charges
$35.90HC FC BASIC METABOLIC
$8.74HC FC CBC/AUTO
$6.43HC 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
$442.00Insurance Discount
-$35.36Price Negotiated by Insurer
$406.64Deductible 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.
Associated service: Revenue Code 250 charges
$36.80Associated service: Revenue Code 258 charges
$35.88HC FC BASIC METABOLIC
$8.74HC FC CBC/AUTO
$6.42HC 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
$442.00Insurance Discount
-$60.24Price Negotiated by Insurer
$381.76Deductible 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
$34.55Associated service: Revenue Code 258 charges
$33.68HC FC BASIC METABOLIC
$8.21HC FC CBC/AUTO
$6.03HC 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
$442.00Insurance Discount
-$216.58Price Negotiated by Insurer
$225.42Deductible 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
$20.40Associated service: Revenue Code 258 charges
$19.89HC FC BASIC METABOLIC
$4.84HC FC CBC/AUTO
$3.56HC 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
$442.00Insurance Discount
-$216.58Price Negotiated by Insurer
$225.42Deductible 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
$20.40Associated service: Revenue Code 258 charges
$19.89HC FC BASIC METABOLIC
$4.84HC FC CBC/AUTO
$3.56HC 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
$442.00Insurance Discount
-$44.20Price Negotiated by Insurer
$397.80Deductible 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
$36.00Associated service: Revenue Code 258 charges
$35.10HC FC BASIC METABOLIC
$8.55HC FC CBC/AUTO
$6.28HC 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
$442.00Insurance Discount
-$110.50Price Negotiated by Insurer
$331.50Deductible 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
$30.00Associated service: Revenue Code 258 charges
$29.25HC FC BASIC METABOLIC
$7.12HC FC CBC/AUTO
$5.24HC 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
$442.00Insurance Discount
-$106.79Price Negotiated by Insurer
$335.21Deductible 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.
Associated service: Revenue Code 250 charges
$30.34Associated service: Revenue Code 258 charges
$29.58HC FC BASIC METABOLIC
$7.20HC FC CBC/AUTO
$5.29HC 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
$442.00Insurance Discount
-$269.62Price Negotiated by Insurer
$172.38Deductible 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
$15.60Associated service: Revenue Code 258 charges
$15.21HC FC BASIC METABOLIC
$3.71HC FC CBC/AUTO
$2.72HC 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
$442.00Insurance Discount
-$100.78Price Negotiated by Insurer
$341.22Deductible 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
$30.88Associated service: Revenue Code 258 charges
$30.11HC FC BASIC METABOLIC
$7.33HC FC CBC/AUTO
$5.39HC 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
$442.00Insurance Discount
-$167.96Price Negotiated by Insurer
$274.04Deductible Applied
-Copay
-Coinsurance
-Your insurance company will pay
-You will owe (Estimate)
Some services may incur additional charges based on the exact care required. Listed below are commonly associated charges with this service and the rate negotiated by your insurance plan. These charges are listed to give you an idea of what types of other services are often required, but not all patients will require these specific services.
Associated service: Revenue Code 250 charges
$24.80Associated service: Revenue Code 258 charges
$24.18HC FC BASIC METABOLIC
$5.89HC FC CBC/AUTO
$4.33HC 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
$442.00Insurance Discount
-$75.14Price Negotiated by Insurer
$366.86Deductible 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.
Associated service: Revenue Code 250 charges
$33.20Associated service: Revenue Code 258 charges
$32.37HC FC BASIC METABOLIC
$7.88HC FC CBC/AUTO
$5.79HC 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
$442.00Insurance Discount
-$53.04Price Negotiated by Insurer
$388.96Deductible 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
$35.20Associated service: Revenue Code 258 charges
$34.32HC FC BASIC METABOLIC
$8.36HC FC CBC/AUTO
$6.14HC 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
$442.00Insurance Discount
-$66.30Price Negotiated by Insurer
$375.70Deductible 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.
Associated service: Revenue Code 250 charges
$34.00Associated service: Revenue Code 258 charges
$33.15HC FC BASIC METABOLIC
$8.07HC FC CBC/AUTO
$5.93HC 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
$442.00Insurance Discount
-$93.70Price Negotiated by Insurer
$348.30Deductible 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.
Associated service: Revenue Code 250 charges
$31.52Associated service: Revenue Code 258 charges
$30.73HC FC BASIC METABOLIC
$7.49HC FC CBC/AUTO
$5.50HC 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
$442.00Insurance Discount
-$296.14Price Negotiated by Insurer
$145.86Deductible 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.
Associated service: Revenue Code 250 charges
$13.20Associated service: Revenue Code 258 charges
$12.87HC FC BASIC METABOLIC
$3.14HC FC CBC/AUTO
$2.30HC 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.