CPT 73080
The standard charge for Radiologic examination, elbow; complete, minimum of 3 views is $276.00. 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
321 Madison St., Sheridan, MT, 59749CONTACT
(406) 842-5453 Visit WebsiteRuby Valley Medical Center 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, Ruby Valley Medical Center 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.
I understand that the list of standard charges includes only hospital services and does not contain professional fees for non-Ruby Valley Medical Center physicians or advanced practice providers. It does not contain professional fees for anesthesia, physicians or advanced practice providers.
I understand that a single line item charge may not represent a complete medical service. In general, multiple charge line items are necessary to represent all components of a service (e.g. procedures, supplies, and drugs).
I understand that the list of standard charges is not intended for media use.
I understand prices are the list price of all hospital charges and not necessarily what my insurance company will pay or what I will owe to the hospital. My actual bill may include one or more of list price charges.
The hospital typically accepts a rate that is less than the list charges. Your insurer will determine what you will owe after they have paid their agreed upon amount.
We know that the billing and payment processes may seem overwhelming at times. Please contact our team at 406-842-5453 or via our contact form here.
Choose a plan to view the insurance rate estimate.
Total estimated charges
$276.00Insurance Discount
-$13.80Price Negotiated by Insurer
$262.20Deductible 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.
BLOOD CULTURE, SET 1 (008300)
$27.55B-TYPE NATRIURETIC PEPTIDE
$254.60.COMPLETE BLOOD COUNT, WITH AUTO DIFF
$101.65COMPREHENSIVE METABOLIC PANEL
$204.25C-REACTIVE PROTEIN
$86.45CT ABDOMEN PELVIS W CONTRAST
$2,873.75CTA THORACIC AORTA
$2,168.85CT CERVICAL SPINE WO CONTRAST
$1,530.45CT CONTRAST BOTTLE ISOVUE 250 200ML
$171.95CT HEAD WO CONTRAST
$1,360.40D-DIMER QUANTITIVE
$165.30DRUGS OF ABUSE SCREEN, URINE
$188.10EKG - AMBULANCE
$170.05ER ROOM/OP ROOM COMPREHENSIVE 99285
$1,634.00ER ROOM/OP ROOM EXTENDED 99284
$1,094.40ER ROOM/OP ROOM INTERMEDIATE 99283
$679.25ETHANOL, BLOOD
$115.90IV PUSH;INITIAL
$185.25LAB TROPONIN
$107.35LAB VENIPUNCTURE
$23.75LACTIC ACID
$135.85NS 100mL Charge only
$8.55XR CHEST CHILD 1 VIEW
$186.20XR SHOULDER RT 2 VIEWS
$608.95XR WRIST BILATERAL 3 VIEWS
$256.50This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Ruby Valley Medical Center so that your price and insurance eligibility can be confirmed.
To verify this rate and discuss any other associated charges to expect, please contact Ruby Valley Medical Center directly.
Total estimated charges
$276.00Insurance Discount
-$27.60Price Negotiated by Insurer
$248.40Deductible 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.
BLOOD CULTURE, SET 1 (008300)
$26.10B-TYPE NATRIURETIC PEPTIDE
$241.20.COMPLETE BLOOD COUNT, WITH AUTO DIFF
$96.30COMPREHENSIVE METABOLIC PANEL
$193.50C-REACTIVE PROTEIN
$81.90CT ABDOMEN PELVIS W CONTRAST
$2,722.50CTA THORACIC AORTA
$2,054.70CT CERVICAL SPINE WO CONTRAST
$1,449.90CT CONTRAST BOTTLE ISOVUE 250 200ML
$162.90CT HEAD WO CONTRAST
$1,288.80D-DIMER QUANTITIVE
$156.60DRUGS OF ABUSE SCREEN, URINE
$178.20EKG - AMBULANCE
$161.10ER ROOM/OP ROOM COMPREHENSIVE 99285
$1,548.00ER ROOM/OP ROOM EXTENDED 99284
$1,036.80ER ROOM/OP ROOM INTERMEDIATE 99283
$643.50ETHANOL, BLOOD
$109.80IV PUSH;INITIAL
$175.50LAB TROPONIN
$101.70LAB VENIPUNCTURE
$22.50LACTIC ACID
$128.70NS 100mL Charge only
$8.10XR CHEST CHILD 1 VIEW
$176.40XR SHOULDER RT 2 VIEWS
$576.90XR WRIST BILATERAL 3 VIEWS
$243.00This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Ruby Valley Medical Center so that your price and insurance eligibility can be confirmed.
To verify this rate and discuss any other associated charges to expect, please contact Ruby Valley Medical Center directly.
Total estimated charges
$276.00Insurance Discount
-$27.60Price Negotiated by Insurer
$248.40Deductible 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.
BLOOD CULTURE, SET 1 (008300)
$26.10B-TYPE NATRIURETIC PEPTIDE
$241.20.COMPLETE BLOOD COUNT, WITH AUTO DIFF
$96.30COMPREHENSIVE METABOLIC PANEL
$193.50C-REACTIVE PROTEIN
$81.90CT ABDOMEN PELVIS W CONTRAST
$2,722.50CTA THORACIC AORTA
$2,054.70CT CERVICAL SPINE WO CONTRAST
$1,449.90CT CONTRAST BOTTLE ISOVUE 250 200ML
$162.90CT HEAD WO CONTRAST
$1,288.80D-DIMER QUANTITIVE
$156.60DRUGS OF ABUSE SCREEN, URINE
$178.20EKG - AMBULANCE
$161.10ER ROOM/OP ROOM COMPREHENSIVE 99285
$1,548.00ER ROOM/OP ROOM EXTENDED 99284
$1,036.80ER ROOM/OP ROOM INTERMEDIATE 99283
$643.50ETHANOL, BLOOD
$109.80IV PUSH;INITIAL
$175.50LAB TROPONIN
$101.70LAB VENIPUNCTURE
$22.50LACTIC ACID
$128.70NS 100mL Charge only
$8.10XR CHEST CHILD 1 VIEW
$176.40XR SHOULDER RT 2 VIEWS
$576.90XR WRIST BILATERAL 3 VIEWS
$243.00This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Ruby Valley Medical Center so that your price and insurance eligibility can be confirmed.
To verify this rate and discuss any other associated charges to expect, please contact Ruby Valley Medical Center directly.
Total estimated charges
$276.00Insurance Discount
-$13.80Price Negotiated by Insurer
$262.20Deductible 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.
BLOOD CULTURE, SET 1 (008300)
$27.55B-TYPE NATRIURETIC PEPTIDE
$254.60.COMPLETE BLOOD COUNT, WITH AUTO DIFF
$101.65COMPREHENSIVE METABOLIC PANEL
$204.25C-REACTIVE PROTEIN
$86.45CT ABDOMEN PELVIS W CONTRAST
$2,873.75CTA THORACIC AORTA
$2,168.85CT CERVICAL SPINE WO CONTRAST
$1,530.45CT CONTRAST BOTTLE ISOVUE 250 200ML
$171.95CT HEAD WO CONTRAST
$1,360.40D-DIMER QUANTITIVE
$165.30DRUGS OF ABUSE SCREEN, URINE
$188.10EKG - AMBULANCE
$170.05ER ROOM/OP ROOM COMPREHENSIVE 99285
$1,634.00ER ROOM/OP ROOM EXTENDED 99284
$1,094.40ER ROOM/OP ROOM INTERMEDIATE 99283
$679.25ETHANOL, BLOOD
$115.90IV PUSH;INITIAL
$185.25LAB TROPONIN
$107.35LAB VENIPUNCTURE
$23.75LACTIC ACID
$135.85NS 100mL Charge only
$8.55XR CHEST CHILD 1 VIEW
$186.20XR SHOULDER RT 2 VIEWS
$608.95XR WRIST BILATERAL 3 VIEWS
$256.50This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Ruby Valley Medical Center so that your price and insurance eligibility can be confirmed.
To verify this rate and discuss any other associated charges to expect, please contact Ruby Valley Medical Center directly.
Total estimated charges
$276.00Insurance Discount
-$27.60Price Negotiated by Insurer
$248.40Deductible 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.
BLOOD CULTURE, SET 1 (008300)
$26.10B-TYPE NATRIURETIC PEPTIDE
$241.20.COMPLETE BLOOD COUNT, WITH AUTO DIFF
$96.30COMPREHENSIVE METABOLIC PANEL
$193.50C-REACTIVE PROTEIN
$81.90CT ABDOMEN PELVIS W CONTRAST
$2,722.50CTA THORACIC AORTA
$2,054.70CT CERVICAL SPINE WO CONTRAST
$1,449.90CT CONTRAST BOTTLE ISOVUE 250 200ML
$162.90CT HEAD WO CONTRAST
$1,288.80D-DIMER QUANTITIVE
$156.60DRUGS OF ABUSE SCREEN, URINE
$178.20EKG - AMBULANCE
$161.10ER ROOM/OP ROOM COMPREHENSIVE 99285
$1,548.00ER ROOM/OP ROOM EXTENDED 99284
$1,036.80ER ROOM/OP ROOM INTERMEDIATE 99283
$643.50ETHANOL, BLOOD
$109.80IV PUSH;INITIAL
$175.50LAB TROPONIN
$101.70LAB VENIPUNCTURE
$22.50LACTIC ACID
$128.70NS 100mL Charge only
$8.10XR CHEST CHILD 1 VIEW
$176.40XR SHOULDER RT 2 VIEWS
$576.90XR WRIST BILATERAL 3 VIEWS
$243.00This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Ruby Valley Medical Center so that your price and insurance eligibility can be confirmed.
To verify this rate and discuss any other associated charges to expect, please contact Ruby Valley Medical Center directly.
Total estimated charges
$276.00Insurance Discount
-$27.60Price Negotiated by Insurer
$248.40Deductible 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.
BLOOD CULTURE, SET 1 (008300)
$26.10B-TYPE NATRIURETIC PEPTIDE
$241.20.COMPLETE BLOOD COUNT, WITH AUTO DIFF
$96.30COMPREHENSIVE METABOLIC PANEL
$193.50C-REACTIVE PROTEIN
$81.90CT ABDOMEN PELVIS W CONTRAST
$2,722.50CTA THORACIC AORTA
$2,054.70CT CERVICAL SPINE WO CONTRAST
$1,449.90CT CONTRAST BOTTLE ISOVUE 250 200ML
$162.90CT HEAD WO CONTRAST
$1,288.80D-DIMER QUANTITIVE
$156.60DRUGS OF ABUSE SCREEN, URINE
$178.20EKG - AMBULANCE
$161.10ER ROOM/OP ROOM COMPREHENSIVE 99285
$1,548.00ER ROOM/OP ROOM EXTENDED 99284
$1,036.80ER ROOM/OP ROOM INTERMEDIATE 99283
$643.50ETHANOL, BLOOD
$109.80IV PUSH;INITIAL
$175.50LAB TROPONIN
$101.70LAB VENIPUNCTURE
$22.50LACTIC ACID
$128.70NS 100mL Charge only
$8.10XR CHEST CHILD 1 VIEW
$176.40XR SHOULDER RT 2 VIEWS
$576.90XR WRIST BILATERAL 3 VIEWS
$243.00This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Ruby Valley Medical Center so that your price and insurance eligibility can be confirmed.
To verify this rate and discuss any other associated charges to expect, please contact Ruby Valley Medical Center directly.
Total estimated charges
$276.00Insurance Discount
-$13.80Price Negotiated by Insurer
$262.20Deductible 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.
BLOOD CULTURE, SET 1 (008300)
$27.55B-TYPE NATRIURETIC PEPTIDE
$254.60.COMPLETE BLOOD COUNT, WITH AUTO DIFF
$101.65COMPREHENSIVE METABOLIC PANEL
$204.25C-REACTIVE PROTEIN
$86.45CT ABDOMEN PELVIS W CONTRAST
$2,873.75CTA THORACIC AORTA
$2,168.85CT CERVICAL SPINE WO CONTRAST
$1,530.45CT CONTRAST BOTTLE ISOVUE 250 200ML
$171.95CT HEAD WO CONTRAST
$1,360.40D-DIMER QUANTITIVE
$165.30DRUGS OF ABUSE SCREEN, URINE
$188.10EKG - AMBULANCE
$170.05ER ROOM/OP ROOM COMPREHENSIVE 99285
$1,634.00ER ROOM/OP ROOM EXTENDED 99284
$1,094.40ER ROOM/OP ROOM INTERMEDIATE 99283
$679.25ETHANOL, BLOOD
$115.90IV PUSH;INITIAL
$185.25LAB TROPONIN
$107.35LAB VENIPUNCTURE
$23.75LACTIC ACID
$135.85NS 100mL Charge only
$8.55XR CHEST CHILD 1 VIEW
$186.20XR SHOULDER RT 2 VIEWS
$608.95XR WRIST BILATERAL 3 VIEWS
$256.50This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Ruby Valley Medical Center so that your price and insurance eligibility can be confirmed.
To verify this rate and discuss any other associated charges to expect, please contact Ruby Valley Medical Center directly.
Total estimated charges
$276.00Insurance Discount
$0.00Price Negotiated by Insurer
$276.00Deductible 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.
BLOOD CULTURE, SET 1 (008300)
$29.00B-TYPE NATRIURETIC PEPTIDE
$268.00.COMPLETE BLOOD COUNT, WITH AUTO DIFF
$107.00COMPREHENSIVE METABOLIC PANEL
$215.00C-REACTIVE PROTEIN
$91.00CT ABDOMEN PELVIS W CONTRAST
$3,025.00CTA THORACIC AORTA
$2,283.00CT CERVICAL SPINE WO CONTRAST
$1,611.00CT CONTRAST BOTTLE ISOVUE 250 200ML
$181.00CT HEAD WO CONTRAST
$1,432.00D-DIMER QUANTITIVE
$174.00DRUGS OF ABUSE SCREEN, URINE
$198.00EKG - AMBULANCE
$179.00ER ROOM/OP ROOM COMPREHENSIVE 99285
$1,720.00ER ROOM/OP ROOM EXTENDED 99284
$1,152.00ER ROOM/OP ROOM INTERMEDIATE 99283
$715.00ETHANOL, BLOOD
$122.00IV PUSH;INITIAL
$195.00LAB TROPONIN
$113.00LAB VENIPUNCTURE
$25.00LACTIC ACID
$143.00NS 100mL Charge only
$9.00XR CHEST CHILD 1 VIEW
$196.00XR SHOULDER RT 2 VIEWS
$641.00XR WRIST BILATERAL 3 VIEWS
$270.00This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Ruby Valley Medical Center so that your price and insurance eligibility can be confirmed.
To verify this rate and discuss any other associated charges to expect, please contact Ruby Valley Medical Center directly.
Total estimated charges
$276.00Insurance Discount
-$27.60Price Negotiated by Insurer
$248.40Deductible 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.
BLOOD CULTURE, SET 1 (008300)
$26.10B-TYPE NATRIURETIC PEPTIDE
$241.20.COMPLETE BLOOD COUNT, WITH AUTO DIFF
$96.30COMPREHENSIVE METABOLIC PANEL
$193.50C-REACTIVE PROTEIN
$81.90CT ABDOMEN PELVIS W CONTRAST
$2,722.50CTA THORACIC AORTA
$2,054.70CT CERVICAL SPINE WO CONTRAST
$1,449.90CT CONTRAST BOTTLE ISOVUE 250 200ML
$162.90CT HEAD WO CONTRAST
$1,288.80D-DIMER QUANTITIVE
$156.60DRUGS OF ABUSE SCREEN, URINE
$178.20EKG - AMBULANCE
$161.10ER ROOM/OP ROOM COMPREHENSIVE 99285
$1,548.00ER ROOM/OP ROOM EXTENDED 99284
$1,036.80ER ROOM/OP ROOM INTERMEDIATE 99283
$643.50ETHANOL, BLOOD
$109.80IV PUSH;INITIAL
$175.50LAB TROPONIN
$101.70LAB VENIPUNCTURE
$22.50LACTIC ACID
$128.70NS 100mL Charge only
$8.10XR CHEST CHILD 1 VIEW
$176.40XR SHOULDER RT 2 VIEWS
$576.90XR WRIST BILATERAL 3 VIEWS
$243.00This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Ruby Valley Medical Center so that your price and insurance eligibility can be confirmed.
To verify this rate and discuss any other associated charges to expect, please contact Ruby Valley Medical Center directly.
Total estimated charges
$276.00Insurance Discount
-$13.80Price Negotiated by Insurer
$262.20Deductible 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.
BLOOD CULTURE, SET 1 (008300)
$27.55B-TYPE NATRIURETIC PEPTIDE
$254.60.COMPLETE BLOOD COUNT, WITH AUTO DIFF
$101.65COMPREHENSIVE METABOLIC PANEL
$204.25C-REACTIVE PROTEIN
$86.45CT ABDOMEN PELVIS W CONTRAST
$2,873.75CTA THORACIC AORTA
$2,168.85CT CERVICAL SPINE WO CONTRAST
$1,530.45CT CONTRAST BOTTLE ISOVUE 250 200ML
$171.95CT HEAD WO CONTRAST
$1,360.40D-DIMER QUANTITIVE
$165.30DRUGS OF ABUSE SCREEN, URINE
$188.10EKG - AMBULANCE
$170.05ER ROOM/OP ROOM COMPREHENSIVE 99285
$1,634.00ER ROOM/OP ROOM EXTENDED 99284
$1,094.40ER ROOM/OP ROOM INTERMEDIATE 99283
$679.25ETHANOL, BLOOD
$115.90IV PUSH;INITIAL
$185.25LAB TROPONIN
$107.35LAB VENIPUNCTURE
$23.75LACTIC ACID
$135.85NS 100mL Charge only
$8.55XR CHEST CHILD 1 VIEW
$186.20XR SHOULDER RT 2 VIEWS
$608.95XR WRIST BILATERAL 3 VIEWS
$256.50This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Ruby Valley Medical Center so that your price and insurance eligibility can be confirmed.
To verify this rate and discuss any other associated charges to expect, please contact Ruby Valley Medical Center directly.
Total estimated charges
$276.00Insurance Discount
-$27.60Price Negotiated by Insurer
$248.40Deductible 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.
BLOOD CULTURE, SET 1 (008300)
$26.10B-TYPE NATRIURETIC PEPTIDE
$241.20.COMPLETE BLOOD COUNT, WITH AUTO DIFF
$96.30COMPREHENSIVE METABOLIC PANEL
$193.50C-REACTIVE PROTEIN
$81.90CT ABDOMEN PELVIS W CONTRAST
$2,722.50CTA THORACIC AORTA
$2,054.70CT CERVICAL SPINE WO CONTRAST
$1,449.90CT CONTRAST BOTTLE ISOVUE 250 200ML
$162.90CT HEAD WO CONTRAST
$1,288.80D-DIMER QUANTITIVE
$156.60DRUGS OF ABUSE SCREEN, URINE
$178.20EKG - AMBULANCE
$161.10ER ROOM/OP ROOM COMPREHENSIVE 99285
$1,548.00ER ROOM/OP ROOM EXTENDED 99284
$1,036.80ER ROOM/OP ROOM INTERMEDIATE 99283
$643.50ETHANOL, BLOOD
$109.80IV PUSH;INITIAL
$175.50LAB TROPONIN
$101.70LAB VENIPUNCTURE
$22.50LACTIC ACID
$128.70NS 100mL Charge only
$8.10XR CHEST CHILD 1 VIEW
$176.40XR SHOULDER RT 2 VIEWS
$576.90XR WRIST BILATERAL 3 VIEWS
$243.00This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Ruby Valley Medical Center so that your price and insurance eligibility can be confirmed.
To verify this rate and discuss any other associated charges to expect, please contact Ruby Valley Medical Center directly.
Total estimated charges
$276.00Insurance Discount
-$22.08Price Negotiated by Insurer
$253.92Deductible 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.
BLOOD CULTURE, SET 1 (008300)
$26.68B-TYPE NATRIURETIC PEPTIDE
$246.56.COMPLETE BLOOD COUNT, WITH AUTO DIFF
$98.44COMPREHENSIVE METABOLIC PANEL
$197.80C-REACTIVE PROTEIN
$83.72CT ABDOMEN PELVIS W CONTRAST
$2,783.00CTA THORACIC AORTA
$2,100.36CT CERVICAL SPINE WO CONTRAST
$1,482.12CT CONTRAST BOTTLE ISOVUE 250 200ML
$166.52CT HEAD WO CONTRAST
$1,317.44D-DIMER QUANTITIVE
$160.08DRUGS OF ABUSE SCREEN, URINE
$182.16EKG - AMBULANCE
$164.68ER ROOM/OP ROOM COMPREHENSIVE 99285
$1,582.40ER ROOM/OP ROOM EXTENDED 99284
$1,059.84ER ROOM/OP ROOM INTERMEDIATE 99283
$657.80ETHANOL, BLOOD
$112.24IV PUSH;INITIAL
$179.40LAB TROPONIN
$103.96LAB VENIPUNCTURE
$23.00LACTIC ACID
$131.56NS 100mL Charge only
$8.28XR CHEST CHILD 1 VIEW
$180.32XR SHOULDER RT 2 VIEWS
$589.72XR WRIST BILATERAL 3 VIEWS
$248.40This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Ruby Valley Medical Center so that your price and insurance eligibility can be confirmed.
To verify this rate and discuss any other associated charges to expect, please contact Ruby Valley Medical Center directly.
Total estimated charges
$276.00Insurance Discount
-$82.80Price Negotiated by Insurer
$193.20Deductible 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.
BLOOD CULTURE, SET 1 (008300)
$20.30B-TYPE NATRIURETIC PEPTIDE
$187.60.COMPLETE BLOOD COUNT, WITH AUTO DIFF
$74.90COMPREHENSIVE METABOLIC PANEL
$150.50C-REACTIVE PROTEIN
$63.70CT ABDOMEN PELVIS W CONTRAST
$2,117.50CTA THORACIC AORTA
$1,598.10CT CERVICAL SPINE WO CONTRAST
$1,127.70CT CONTRAST BOTTLE ISOVUE 250 200ML
$126.70CT HEAD WO CONTRAST
$1,002.40D-DIMER QUANTITIVE
$121.80DRUGS OF ABUSE SCREEN, URINE
$138.60EKG - AMBULANCE
$125.30ER ROOM/OP ROOM COMPREHENSIVE 99285
$1,204.00ER ROOM/OP ROOM EXTENDED 99284
$806.40ER ROOM/OP ROOM INTERMEDIATE 99283
$500.50ETHANOL, BLOOD
$85.40IV PUSH;INITIAL
$136.50LAB TROPONIN
$79.10LAB VENIPUNCTURE
$17.50LACTIC ACID
$100.10NS 100mL Charge only
$6.30XR CHEST CHILD 1 VIEW
$137.20XR SHOULDER RT 2 VIEWS
$448.70XR WRIST BILATERAL 3 VIEWS
$189.00This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Ruby Valley Medical Center so that your price and insurance eligibility can be confirmed.
To verify this rate and discuss any other associated charges to expect, please contact Ruby Valley Medical Center directly.
Total estimated charges
$276.00Insurance Discount
-$13.80Price Negotiated by Insurer
$262.20Deductible 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.
BLOOD CULTURE, SET 1 (008300)
$27.55B-TYPE NATRIURETIC PEPTIDE
$254.60.COMPLETE BLOOD COUNT, WITH AUTO DIFF
$101.65COMPREHENSIVE METABOLIC PANEL
$204.25C-REACTIVE PROTEIN
$86.45CT ABDOMEN PELVIS W CONTRAST
$2,873.75CTA THORACIC AORTA
$2,168.85CT CERVICAL SPINE WO CONTRAST
$1,530.45CT CONTRAST BOTTLE ISOVUE 250 200ML
$171.95CT HEAD WO CONTRAST
$1,360.40D-DIMER QUANTITIVE
$165.30DRUGS OF ABUSE SCREEN, URINE
$188.10EKG - AMBULANCE
$170.05ER ROOM/OP ROOM COMPREHENSIVE 99285
$1,634.00ER ROOM/OP ROOM EXTENDED 99284
$1,094.40ER ROOM/OP ROOM INTERMEDIATE 99283
$679.25ETHANOL, BLOOD
$115.90IV PUSH;INITIAL
$185.25LAB TROPONIN
$107.35LAB VENIPUNCTURE
$23.75LACTIC ACID
$135.85NS 100mL Charge only
$8.55XR CHEST CHILD 1 VIEW
$186.20XR SHOULDER RT 2 VIEWS
$608.95XR WRIST BILATERAL 3 VIEWS
$256.50This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Ruby Valley Medical Center so that your price and insurance eligibility can be confirmed.
To verify this rate and discuss any other associated charges to expect, please contact Ruby Valley Medical Center directly.
Total estimated charges
$276.00Insurance Discount
-$8.28Price Negotiated by Insurer
$267.72Deductible 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.
BLOOD CULTURE, SET 1 (008300)
$28.13B-TYPE NATRIURETIC PEPTIDE
$259.96.COMPLETE BLOOD COUNT, WITH AUTO DIFF
$103.79COMPREHENSIVE METABOLIC PANEL
$208.55C-REACTIVE PROTEIN
$88.27CT ABDOMEN PELVIS W CONTRAST
$2,934.25CTA THORACIC AORTA
$2,214.51CT CERVICAL SPINE WO CONTRAST
$1,562.67CT CONTRAST BOTTLE ISOVUE 250 200ML
$175.57CT HEAD WO CONTRAST
$1,389.04D-DIMER QUANTITIVE
$168.78DRUGS OF ABUSE SCREEN, URINE
$192.06EKG - AMBULANCE
$173.63ER ROOM/OP ROOM COMPREHENSIVE 99285
$1,668.40ER ROOM/OP ROOM EXTENDED 99284
$1,117.44ER ROOM/OP ROOM INTERMEDIATE 99283
$693.55ETHANOL, BLOOD
$118.34IV PUSH;INITIAL
$189.15LAB TROPONIN
$109.61LAB VENIPUNCTURE
$24.25LACTIC ACID
$138.71NS 100mL Charge only
$8.73XR CHEST CHILD 1 VIEW
$190.12XR SHOULDER RT 2 VIEWS
$621.77XR WRIST BILATERAL 3 VIEWS
$261.90This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Ruby Valley Medical Center so that your price and insurance eligibility can be confirmed.
To verify this rate and discuss any other associated charges to expect, please contact Ruby Valley Medical Center directly.
Total estimated charges
$276.00Insurance Discount
-$13.80Price Negotiated by Insurer
$262.20Deductible 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.
BLOOD CULTURE, SET 1 (008300)
$27.55B-TYPE NATRIURETIC PEPTIDE
$254.60.COMPLETE BLOOD COUNT, WITH AUTO DIFF
$101.65COMPREHENSIVE METABOLIC PANEL
$204.25C-REACTIVE PROTEIN
$86.45CT ABDOMEN PELVIS W CONTRAST
$2,873.75CTA THORACIC AORTA
$2,168.85CT CERVICAL SPINE WO CONTRAST
$1,530.45CT CONTRAST BOTTLE ISOVUE 250 200ML
$171.95CT HEAD WO CONTRAST
$1,360.40D-DIMER QUANTITIVE
$165.30DRUGS OF ABUSE SCREEN, URINE
$188.10EKG - AMBULANCE
$170.05ER ROOM/OP ROOM COMPREHENSIVE 99285
$1,634.00ER ROOM/OP ROOM EXTENDED 99284
$1,094.40ER ROOM/OP ROOM INTERMEDIATE 99283
$679.25ETHANOL, BLOOD
$115.90IV PUSH;INITIAL
$185.25LAB TROPONIN
$107.35LAB VENIPUNCTURE
$23.75LACTIC ACID
$135.85NS 100mL Charge only
$8.55XR CHEST CHILD 1 VIEW
$186.20XR SHOULDER RT 2 VIEWS
$608.95XR WRIST BILATERAL 3 VIEWS
$256.50This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Ruby Valley Medical Center so that your price and insurance eligibility can be confirmed.
To verify this rate and discuss any other associated charges to expect, please contact Ruby Valley Medical Center directly.
Total estimated charges
$276.00Insurance Discount
-$13.80Price Negotiated by Insurer
$262.20Deductible 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.
BLOOD CULTURE, SET 1 (008300)
$27.55B-TYPE NATRIURETIC PEPTIDE
$254.60.COMPLETE BLOOD COUNT, WITH AUTO DIFF
$101.65COMPREHENSIVE METABOLIC PANEL
$204.25C-REACTIVE PROTEIN
$86.45CT ABDOMEN PELVIS W CONTRAST
$2,873.75CTA THORACIC AORTA
$2,168.85CT CERVICAL SPINE WO CONTRAST
$1,530.45CT CONTRAST BOTTLE ISOVUE 250 200ML
$171.95CT HEAD WO CONTRAST
$1,360.40D-DIMER QUANTITIVE
$165.30DRUGS OF ABUSE SCREEN, URINE
$188.10EKG - AMBULANCE
$170.05ER ROOM/OP ROOM COMPREHENSIVE 99285
$1,634.00ER ROOM/OP ROOM EXTENDED 99284
$1,094.40ER ROOM/OP ROOM INTERMEDIATE 99283
$679.25ETHANOL, BLOOD
$115.90IV PUSH;INITIAL
$185.25LAB TROPONIN
$107.35LAB VENIPUNCTURE
$23.75LACTIC ACID
$135.85NS 100mL Charge only
$8.55XR CHEST CHILD 1 VIEW
$186.20XR SHOULDER RT 2 VIEWS
$608.95XR WRIST BILATERAL 3 VIEWS
$256.50This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Ruby Valley Medical Center so that your price and insurance eligibility can be confirmed.
To verify this rate and discuss any other associated charges to expect, please contact Ruby Valley Medical Center directly.