
CPT 71275
The standard charge for Diagnostic Radiology (Diagnostic Imaging) Procedures of the Chest is $2,805.00. 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
$2,805.00Insurance Discount
-$437.58Price Negotiated by Insurer
$2,367.42Deductible 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.
HC BASIC METABOLIC-CA TOTAL
$93.19HC CBC/AUTO
$68.21HC COMPREHENSIVE METABOLIC
$127.00HC ELECTROCARDIOGRAM
$272.70HC TROPONIN T
$218.74HC VENIPUNCTURE
$30.59IOHEXOL 350 MG IODINE/ML IV SOLN 100 ML BTL
$425.80This 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
$2,805.00Insurance Discount
-$1,907.40Price Negotiated by Insurer
$897.60Deductible 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.
HC BASIC METABOLIC-CA TOTAL
$35.33HC CBC/AUTO
$25.86HC COMPREHENSIVE METABOLIC
$48.15HC ELECTROCARDIOGRAM
$103.39HC TROPONIN T
$82.93HC VENIPUNCTURE
$11.60IOHEXOL 350 MG IODINE/ML IV SOLN 100 ML BTL
$161.44This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Cameron Memorial Community Hospital so that your price and insurance eligibility can be confirmed.
To verify this rate and discuss any other associated charges to expect, please contact Cameron Memorial Community Hospital directly.
Total estimated charges
$2,805.00Insurance Discount
-$2,611.87Price Negotiated by Insurer
$193.13Deductible 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
$8.46HC CBC/AUTO
$7.77HC COMPREHENSIVE METABOLIC
$10.56HC ELECTROCARDIOGRAM
$34.97HC TROPONIN T
$12.47HC 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
$2,805.00Insurance Discount
-$1,935.45Price Negotiated by Insurer
$869.55Deductible Applied
-Copay
-Coinsurance
-Your insurance company will pay
-You will owe (Estimate)
Some services may incur additional charges based on the exact care required. Listed below are commonly associated charges with this service and the rate negotiated by your insurance plan. These charges are listed to give you an idea of what types of other services are often required, but not all patients will require these specific services.
HC BASIC METABOLIC-CA TOTAL
$34.23HC CBC/AUTO
$25.05HC COMPREHENSIVE METABOLIC
$46.65HC ELECTROCARDIOGRAM
$100.16HC TROPONIN T
$80.34HC VENIPUNCTURE
$11.23IOHEXOL 350 MG IODINE/ML IV SOLN 100 ML BTL
$156.40This 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
$2,805.00Insurance Discount
-$1,538.00Price Negotiated by Insurer
$1,267.00Deductible 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.
HC BASIC METABOLIC-CA TOTAL
$50.75HC CBC/AUTO
$37.14HC COMPREHENSIVE METABOLIC
$69.16HC ELECTROCARDIOGRAM
$185.56HC TROPONIN T
$119.11HC VENIPUNCTURE
$16.66IOHEXOL 350 MG IODINE/ML IV SOLN 100 ML BTL
$289.73This 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
$2,805.00Insurance Discount
-$1,538.00Price Negotiated by Insurer
$1,267.00Deductible 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.
HC BASIC METABOLIC-CA TOTAL
$50.75HC CBC/AUTO
$37.14HC COMPREHENSIVE METABOLIC
$69.16HC ELECTROCARDIOGRAM
$201.97HC TROPONIN T
$119.11HC VENIPUNCTURE
$16.66IOHEXOL 350 MG IODINE/ML IV SOLN 100 ML BTL
$315.36This 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
$2,805.00Insurance Discount
-$2,611.87Price Negotiated by Insurer
$193.13Deductible 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
$8.46HC CBC/AUTO
$7.77HC COMPREHENSIVE METABOLIC
$10.56HC ELECTROCARDIOGRAM
$34.97HC TROPONIN T
$12.47HC 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
$2,805.00Insurance Discount
-$1,772.76Price Negotiated by Insurer
$1,032.24Deductible 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 COMPREHENSIVE METABOLIC
$55.37HC ELECTROCARDIOGRAM
$118.90HC TROPONIN T
$95.37HC VENIPUNCTURE
$13.34IOHEXOL 350 MG IODINE/ML IV SOLN 100 ML BTL
$185.66This 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
$2,805.00Insurance Discount
-$1,817.64Price Negotiated by Insurer
$987.36Deductible 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
$38.87HC CBC/AUTO
$28.45HC COMPREHENSIVE METABOLIC
$52.97HC ELECTROCARDIOGRAM
$113.73HC TROPONIN T
$91.23HC VENIPUNCTURE
$12.76IOHEXOL 350 MG IODINE/ML IV SOLN 100 ML BTL
$177.58This 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
$2,805.00Insurance Discount
-$1,065.90Price Negotiated by Insurer
$1,739.10Deductible Applied
-Copay
-Coinsurance
-Your insurance company will pay
-You will owe (Estimate)
Some services may incur additional charges based on the exact care required. Listed below are commonly associated charges with this service and the rate negotiated by your insurance plan. These charges are listed to give you an idea of what types of other services are often required, but not all patients will require these specific services.
HC BASIC METABOLIC-CA TOTAL
$68.46HC CBC/AUTO
$50.11HC COMPREHENSIVE METABOLIC
$93.29HC ELECTROCARDIOGRAM
$200.32HC TROPONIN T
$160.69HC VENIPUNCTURE
$22.47IOHEXOL 350 MG IODINE/ML IV SOLN 100 ML BTL
$312.79This 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
$2,805.00Insurance Discount
-$1,279.08Price Negotiated by Insurer
$1,525.92Deductible 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.
HC BASIC METABOLIC-CA TOTAL
$60.07HC CBC/AUTO
$43.97HC COMPREHENSIVE METABOLIC
$81.86HC ELECTROCARDIOGRAM
$175.77HC TROPONIN T
$140.99HC VENIPUNCTURE
$19.71IOHEXOL 350 MG IODINE/ML IV SOLN 100 ML BTL
$274.45This 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
$2,805.00Insurance Discount
-$384.28Price Negotiated by Insurer
$2,420.72Deductible 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
$95.29HC CBC/AUTO
$69.75HC COMPREHENSIVE METABOLIC
$129.86HC ELECTROCARDIOGRAM
$278.84HC TROPONIN T
$223.66HC VENIPUNCTURE
$31.28IOHEXOL 350 MG IODINE/ML IV SOLN 100 ML BTL
$435.38This 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
$2,805.00Insurance Discount
-$196.35Price Negotiated by Insurer
$2,608.65Deductible 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 COMPREHENSIVE METABOLIC
$139.94HC ELECTROCARDIOGRAM
$300.48HC TROPONIN T
$241.03HC VENIPUNCTURE
$33.70IOHEXOL 350 MG IODINE/ML IV SOLN 100 ML BTL
$469.19This 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
$2,805.00Insurance Discount
-$336.60Price Negotiated by Insurer
$2,468.40Deductible Applied
-Copay
-Coinsurance
-Your insurance company will pay
-You will owe (Estimate)
Some services may incur additional charges based on the exact care required. Listed below are commonly associated charges with this service and the rate negotiated by your insurance plan. These charges are listed to give you an idea of what types of other services are often required, but not all patients will require these specific services.
HC BASIC METABOLIC-CA TOTAL
$97.17HC CBC/AUTO
$71.12HC COMPREHENSIVE METABOLIC
$132.41HC ELECTROCARDIOGRAM
$284.33HC TROPONIN T
$228.07HC VENIPUNCTURE
$31.89IOHEXOL 350 MG IODINE/ML IV SOLN 100 ML BTL
$443.96This 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
$2,805.00Insurance Discount
-$223.00Price Negotiated by Insurer
$2,582.00Deductible 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.
HC BASIC METABOLIC-CA TOTAL
$101.64HC CBC/AUTO
$74.39HC COMPREHENSIVE METABOLIC
$138.51HC ELECTROCARDIOGRAM
$297.41HC TROPONIN T
$238.57HC VENIPUNCTURE
$33.36IOHEXOL 350 MG IODINE/ML IV SOLN 100 ML BTL
$464.39This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Cameron Memorial Community Hospital so that your price and insurance eligibility can be confirmed.
To verify this rate and discuss any other associated charges to expect, please contact Cameron Memorial Community Hospital directly.
Total estimated charges
$2,805.00Insurance Discount
-$224.40Price Negotiated by Insurer
$2,580.60Deductible 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.
HC BASIC METABOLIC-CA TOTAL
$101.59HC CBC/AUTO
$74.35HC COMPREHENSIVE METABOLIC
$138.43HC ELECTROCARDIOGRAM
$297.25HC TROPONIN T
$238.44HC VENIPUNCTURE
$33.34IOHEXOL 350 MG IODINE/ML IV SOLN 100 ML BTL
$464.14This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Cameron Memorial Community Hospital so that your price and insurance eligibility can be confirmed.
To verify this rate and discuss any other associated charges to expect, please contact Cameron Memorial Community Hospital directly.
Total estimated charges
$2,805.00Insurance Discount
-$382.32Price Negotiated by Insurer
$2,422.68Deductible 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 COMPREHENSIVE METABOLIC
$129.96HC ELECTROCARDIOGRAM
$279.06HC TROPONIN T
$223.85HC VENIPUNCTURE
$31.30IOHEXOL 350 MG IODINE/ML IV SOLN 100 ML BTL
$435.74This 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
$2,805.00Insurance Discount
-$1,907.40Price Negotiated by Insurer
$897.60Deductible 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.
HC BASIC METABOLIC-CA TOTAL
$35.33HC CBC/AUTO
$25.86HC COMPREHENSIVE METABOLIC
$48.15HC ELECTROCARDIOGRAM
$103.39HC TROPONIN T
$82.93HC VENIPUNCTURE
$11.60IOHEXOL 350 MG IODINE/ML IV SOLN 100 ML BTL
$161.44This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Cameron Memorial Community Hospital so that your price and insurance eligibility can be confirmed.
To verify this rate and discuss any other associated charges to expect, please contact Cameron Memorial Community Hospital directly.
Total estimated charges
$2,805.00Insurance Discount
-$1,279.08Price Negotiated by Insurer
$1,525.92Deductible 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.
HC BASIC METABOLIC-CA TOTAL
$60.07HC CBC/AUTO
$43.97HC COMPREHENSIVE METABOLIC
$81.86HC ELECTROCARDIOGRAM
$175.77HC TROPONIN T
$140.99HC VENIPUNCTURE
$19.71IOHEXOL 350 MG IODINE/ML IV SOLN 100 ML BTL
$274.45This 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
$2,805.00Insurance Discount
-$280.50Price Negotiated by Insurer
$2,524.50Deductible 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.
HC BASIC METABOLIC-CA TOTAL
$99.38HC CBC/AUTO
$72.74HC COMPREHENSIVE METABOLIC
$135.42HC ELECTROCARDIOGRAM
$290.79HC TROPONIN T
$233.25HC VENIPUNCTURE
$32.62IOHEXOL 350 MG IODINE/ML IV SOLN 100 ML BTL
$454.05This 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
$2,805.00Insurance Discount
-$2,611.87Price Negotiated by Insurer
$193.13Deductible 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
$8.46HC CBC/AUTO
$7.77HC COMPREHENSIVE METABOLIC
$10.56HC ELECTROCARDIOGRAM
$34.97HC TROPONIN T
$12.47HC 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
$2,805.00Insurance Discount
-$2,611.87Price Negotiated by Insurer
$193.13Deductible 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
$8.46HC CBC/AUTO
$7.77HC COMPREHENSIVE METABOLIC
$10.56HC ELECTROCARDIOGRAM
$34.97HC TROPONIN T
$12.47HC 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
$2,805.00Insurance Discount
-$701.25Price Negotiated by Insurer
$2,103.75Deductible Applied
-Copay
-Coinsurance
-Your insurance company will pay
-You will owe (Estimate)
Some services may incur additional charges based on the exact care required. Listed below are commonly associated charges with this service and the rate negotiated by your insurance plan. These charges are listed to give you an idea of what types of other services are often required, but not all patients will require these specific services.
HC BASIC METABOLIC-CA TOTAL
$82.81HC CBC/AUTO
$60.62HC COMPREHENSIVE METABOLIC
$112.85HC ELECTROCARDIOGRAM
$242.32HC TROPONIN T
$194.38HC VENIPUNCTURE
$27.18IOHEXOL 350 MG IODINE/ML IV SOLN 100 ML BTL
$378.38This 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
$2,805.00Insurance Discount
-$677.69Price Negotiated by Insurer
$2,127.31Deductible 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 COMPREHENSIVE METABOLIC
$114.12HC ELECTROCARDIOGRAM
$245.04HC TROPONIN T
$196.55HC VENIPUNCTURE
$27.48IOHEXOL 350 MG IODINE/ML IV SOLN 100 ML BTL
$382.61This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Cameron Memorial Community Hospital so that your price and insurance eligibility can be confirmed.
To verify this rate and discuss any other associated charges to expect, please contact Cameron Memorial Community Hospital directly.
Total estimated charges
$2,805.00Insurance Discount
-$1,711.05Price Negotiated by Insurer
$1,093.95Deductible Applied
-Copay
-Coinsurance
-Your insurance company will pay
-You will owe (Estimate)
Some services may incur additional charges based on the exact care required. Listed below are commonly associated charges with this service and the rate negotiated by your insurance plan. These charges are listed to give you an idea of what types of other services are often required, but not all patients will require these specific services.
HC BASIC METABOLIC-CA TOTAL
$43.06HC CBC/AUTO
$31.52HC COMPREHENSIVE METABOLIC
$58.68HC ELECTROCARDIOGRAM
$126.01HC TROPONIN T
$101.08HC VENIPUNCTURE
$14.13IOHEXOL 350 MG IODINE/ML IV SOLN 100 ML BTL
$196.75This 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
$2,805.00Insurance Discount
-$639.54Price Negotiated by Insurer
$2,165.46Deductible 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 COMPREHENSIVE METABOLIC
$116.16HC ELECTROCARDIOGRAM
$249.43HC TROPONIN T
$200.08HC VENIPUNCTURE
$27.98IOHEXOL 350 MG IODINE/ML IV SOLN 100 ML BTL
$389.47This 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
$2,805.00Insurance Discount
-$476.85Price Negotiated by Insurer
$2,328.15Deductible 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.
HC BASIC METABOLIC-CA TOTAL
$91.65HC CBC/AUTO
$67.08HC COMPREHENSIVE METABOLIC
$124.89HC ELECTROCARDIOGRAM
$268.17HC TROPONIN T
$215.11HC VENIPUNCTURE
$30.08IOHEXOL 350 MG IODINE/ML IV SOLN 100 ML BTL
$418.74This 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
$2,805.00Insurance Discount
-$336.60Price Negotiated by Insurer
$2,468.40Deductible Applied
-Copay
-Coinsurance
-Your insurance company will pay
-You will owe (Estimate)
Some services may incur additional charges based on the exact care required. Listed below are commonly associated charges with this service and the rate negotiated by your insurance plan. These charges are listed to give you an idea of what types of other services are often required, but not all patients will require these specific services.
HC BASIC METABOLIC-CA TOTAL
$97.17HC CBC/AUTO
$71.12HC COMPREHENSIVE METABOLIC
$132.41HC ELECTROCARDIOGRAM
$284.33HC TROPONIN T
$228.07HC VENIPUNCTURE
$31.89IOHEXOL 350 MG IODINE/ML IV SOLN 100 ML BTL
$443.96This 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
$2,805.00Insurance Discount
-$420.75Price Negotiated by Insurer
$2,384.25Deductible 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
$93.86HC CBC/AUTO
$68.70HC COMPREHENSIVE METABOLIC
$127.90HC ELECTROCARDIOGRAM
$274.63HC TROPONIN T
$220.29HC VENIPUNCTURE
$30.80IOHEXOL 350 MG IODINE/ML IV SOLN 100 ML BTL
$428.82This 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
$2,805.00Insurance Discount
-$594.66Price Negotiated by Insurer
$2,210.34Deductible 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
$87.01HC CBC/AUTO
$63.69HC COMPREHENSIVE METABOLIC
$118.57HC ELECTROCARDIOGRAM
$254.60HC TROPONIN T
$204.23HC VENIPUNCTURE
$28.56IOHEXOL 350 MG IODINE/ML IV SOLN 100 ML BTL
$397.55This 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
$2,805.00Insurance Discount
-$1,907.40Price Negotiated by Insurer
$897.60Deductible 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.
HC BASIC METABOLIC-CA TOTAL
$35.33HC CBC/AUTO
$25.86HC COMPREHENSIVE METABOLIC
$48.15HC ELECTROCARDIOGRAM
$103.39HC TROPONIN T
$82.93HC VENIPUNCTURE
$11.60IOHEXOL 350 MG IODINE/ML IV SOLN 100 ML BTL
$161.44This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Cameron Memorial Community Hospital so that your price and insurance eligibility can be confirmed.
To verify this rate and discuss any other associated charges to expect, please contact Cameron Memorial Community Hospital directly.