CPT 96368
The standard charge for Intravenous infusion, for therapy, prophylaxis, or diagnosis (specify substance or drug); concurrent infusion (List separately in addition to code for primary procedure) is $120.00. 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
$120.00Insurance Discount
-$6.00Price Negotiated by Insurer
$114.00Deductible 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.
AMIODARONE INJ [150 MG/3 ML]
$7.60BLOOD CULTURE, SET 1 (008300)
$27.55BLOOD GASES, ARTERIAL
$262.20.CAPILLARY SAMPLE COLLECTION
$25.65.COMPLETE BLOOD COUNT, WITH AUTO DIFF
$101.65.COMPLETE BLOOD COUNT, WITHOUT DIFF
$83.60COMPREHENSIVE METABOLIC PANEL
$204.25C-REACTIVE PROTEIN
$86.45CREATINE KINASE, TOTAL
$91.20CRITICAL CARE 1ST HOUR
$2,365.50CT ABDOMEN PELVIS WO CONTRAST
$2,257.20EKG - AMBULANCE
$170.05ER INJ SQ/IM
$87.40ER ROOM/OP ROOM COMPREHENSIVE 99285
$1,634.00ERYTHROCYTE SEDIMENTATION RATE, BLOOD
$55.10HEPARIN INJ 5000 units/ML
$24.70INS - NOVOLIN NPH [1 UNITS/0.01 ML]
$4.75IV - D5W [500 ML]
$16.15IV INFUSION ADDON EA HR
$119.70IV INFUSION THERAPY INIT SET UP 1.5 HR
$389.50IV - NACL 0.9% [1000 ML]
$20.90LAB TROPONIN
$107.35LAB VENIPUNCTURE
$23.75LACTIC ACID
$135.85LIPID PANEL
$147.25.MANUAL DIFFERENTIAL, BLOOD
$47.50NS 100mL Charge only
$8.55PROTHROMBIN TIME (005199)
$6.65.URINALYSIS, DIPSTICK AND MICROSCOPIC
$65.55XR CHEST CHILD 1 VIEW
$186.20ZOSYN 2.25 GRAM VIAL
$35.15This 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
$120.00Insurance Discount
-$12.00Price Negotiated by Insurer
$108.00Deductible 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.
AMIODARONE INJ [150 MG/3 ML]
$7.20BLOOD CULTURE, SET 1 (008300)
$26.10BLOOD GASES, ARTERIAL
$248.40.CAPILLARY SAMPLE COLLECTION
$24.30.COMPLETE BLOOD COUNT, WITH AUTO DIFF
$96.30.COMPLETE BLOOD COUNT, WITHOUT DIFF
$79.20COMPREHENSIVE METABOLIC PANEL
$193.50C-REACTIVE PROTEIN
$81.90CREATINE KINASE, TOTAL
$86.40CRITICAL CARE 1ST HOUR
$2,241.00CT ABDOMEN PELVIS WO CONTRAST
$2,138.40EKG - AMBULANCE
$161.10ER INJ SQ/IM
$82.80ER ROOM/OP ROOM COMPREHENSIVE 99285
$1,548.00ERYTHROCYTE SEDIMENTATION RATE, BLOOD
$52.20HEPARIN INJ 5000 units/ML
$23.40INS - NOVOLIN NPH [1 UNITS/0.01 ML]
$4.50IV - D5W [500 ML]
$15.30IV INFUSION ADDON EA HR
$113.40IV INFUSION THERAPY INIT SET UP 1.5 HR
$369.00IV - NACL 0.9% [1000 ML]
$19.80LAB TROPONIN
$101.70LAB VENIPUNCTURE
$22.50LACTIC ACID
$128.70LIPID PANEL
$139.50.MANUAL DIFFERENTIAL, BLOOD
$45.00NS 100mL Charge only
$8.10PROTHROMBIN TIME (005199)
$6.30.URINALYSIS, DIPSTICK AND MICROSCOPIC
$62.10XR CHEST CHILD 1 VIEW
$176.40ZOSYN 2.25 GRAM VIAL
$33.30This 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
$120.00Insurance Discount
-$12.00Price Negotiated by Insurer
$108.00Deductible 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.
AMIODARONE INJ [150 MG/3 ML]
$7.20BLOOD CULTURE, SET 1 (008300)
$26.10BLOOD GASES, ARTERIAL
$248.40.CAPILLARY SAMPLE COLLECTION
$24.30.COMPLETE BLOOD COUNT, WITH AUTO DIFF
$96.30.COMPLETE BLOOD COUNT, WITHOUT DIFF
$79.20COMPREHENSIVE METABOLIC PANEL
$193.50C-REACTIVE PROTEIN
$81.90CREATINE KINASE, TOTAL
$86.40CRITICAL CARE 1ST HOUR
$2,241.00CT ABDOMEN PELVIS WO CONTRAST
$2,138.40EKG - AMBULANCE
$161.10ER INJ SQ/IM
$82.80ER ROOM/OP ROOM COMPREHENSIVE 99285
$1,548.00ERYTHROCYTE SEDIMENTATION RATE, BLOOD
$52.20HEPARIN INJ 5000 units/ML
$23.40INS - NOVOLIN NPH [1 UNITS/0.01 ML]
$4.50IV - D5W [500 ML]
$15.30IV INFUSION ADDON EA HR
$113.40IV INFUSION THERAPY INIT SET UP 1.5 HR
$369.00IV - NACL 0.9% [1000 ML]
$19.80LAB TROPONIN
$101.70LAB VENIPUNCTURE
$22.50LACTIC ACID
$128.70LIPID PANEL
$139.50.MANUAL DIFFERENTIAL, BLOOD
$45.00NS 100mL Charge only
$8.10PROTHROMBIN TIME (005199)
$6.30.URINALYSIS, DIPSTICK AND MICROSCOPIC
$62.10XR CHEST CHILD 1 VIEW
$176.40ZOSYN 2.25 GRAM VIAL
$33.30This 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
$120.00Insurance Discount
-$6.00Price Negotiated by Insurer
$114.00Deductible 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.
AMIODARONE INJ [150 MG/3 ML]
$7.60BLOOD CULTURE, SET 1 (008300)
$27.55BLOOD GASES, ARTERIAL
$262.20.CAPILLARY SAMPLE COLLECTION
$25.65.COMPLETE BLOOD COUNT, WITH AUTO DIFF
$101.65.COMPLETE BLOOD COUNT, WITHOUT DIFF
$83.60COMPREHENSIVE METABOLIC PANEL
$204.25C-REACTIVE PROTEIN
$86.45CREATINE KINASE, TOTAL
$91.20CRITICAL CARE 1ST HOUR
$2,365.50CT ABDOMEN PELVIS WO CONTRAST
$2,257.20EKG - AMBULANCE
$170.05ER INJ SQ/IM
$87.40ER ROOM/OP ROOM COMPREHENSIVE 99285
$1,634.00ERYTHROCYTE SEDIMENTATION RATE, BLOOD
$55.10HEPARIN INJ 5000 units/ML
$24.70INS - NOVOLIN NPH [1 UNITS/0.01 ML]
$4.75IV - D5W [500 ML]
$16.15IV INFUSION ADDON EA HR
$119.70IV INFUSION THERAPY INIT SET UP 1.5 HR
$389.50IV - NACL 0.9% [1000 ML]
$20.90LAB TROPONIN
$107.35LAB VENIPUNCTURE
$23.75LACTIC ACID
$135.85LIPID PANEL
$147.25.MANUAL DIFFERENTIAL, BLOOD
$47.50NS 100mL Charge only
$8.55PROTHROMBIN TIME (005199)
$6.65.URINALYSIS, DIPSTICK AND MICROSCOPIC
$65.55XR CHEST CHILD 1 VIEW
$186.20ZOSYN 2.25 GRAM VIAL
$35.15This 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
$120.00Insurance Discount
-$12.00Price Negotiated by Insurer
$108.00Deductible 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.
AMIODARONE INJ [150 MG/3 ML]
$7.20BLOOD CULTURE, SET 1 (008300)
$26.10BLOOD GASES, ARTERIAL
$248.40.CAPILLARY SAMPLE COLLECTION
$24.30.COMPLETE BLOOD COUNT, WITH AUTO DIFF
$96.30.COMPLETE BLOOD COUNT, WITHOUT DIFF
$79.20COMPREHENSIVE METABOLIC PANEL
$193.50C-REACTIVE PROTEIN
$81.90CREATINE KINASE, TOTAL
$86.40CRITICAL CARE 1ST HOUR
$2,241.00CT ABDOMEN PELVIS WO CONTRAST
$2,138.40EKG - AMBULANCE
$161.10ER INJ SQ/IM
$82.80ER ROOM/OP ROOM COMPREHENSIVE 99285
$1,548.00ERYTHROCYTE SEDIMENTATION RATE, BLOOD
$52.20HEPARIN INJ 5000 units/ML
$23.40INS - NOVOLIN NPH [1 UNITS/0.01 ML]
$4.50IV - D5W [500 ML]
$15.30IV INFUSION ADDON EA HR
$113.40IV INFUSION THERAPY INIT SET UP 1.5 HR
$369.00IV - NACL 0.9% [1000 ML]
$19.80LAB TROPONIN
$101.70LAB VENIPUNCTURE
$22.50LACTIC ACID
$128.70LIPID PANEL
$139.50.MANUAL DIFFERENTIAL, BLOOD
$45.00NS 100mL Charge only
$8.10PROTHROMBIN TIME (005199)
$6.30.URINALYSIS, DIPSTICK AND MICROSCOPIC
$62.10XR CHEST CHILD 1 VIEW
$176.40ZOSYN 2.25 GRAM VIAL
$33.30This 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
$120.00Insurance Discount
-$12.00Price Negotiated by Insurer
$108.00Deductible 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.
AMIODARONE INJ [150 MG/3 ML]
$7.20BLOOD CULTURE, SET 1 (008300)
$26.10BLOOD GASES, ARTERIAL
$248.40.CAPILLARY SAMPLE COLLECTION
$24.30.COMPLETE BLOOD COUNT, WITH AUTO DIFF
$96.30.COMPLETE BLOOD COUNT, WITHOUT DIFF
$79.20COMPREHENSIVE METABOLIC PANEL
$193.50C-REACTIVE PROTEIN
$81.90CREATINE KINASE, TOTAL
$86.40CRITICAL CARE 1ST HOUR
$2,241.00CT ABDOMEN PELVIS WO CONTRAST
$2,138.40EKG - AMBULANCE
$161.10ER INJ SQ/IM
$82.80ER ROOM/OP ROOM COMPREHENSIVE 99285
$1,548.00ERYTHROCYTE SEDIMENTATION RATE, BLOOD
$52.20HEPARIN INJ 5000 units/ML
$23.40INS - NOVOLIN NPH [1 UNITS/0.01 ML]
$4.50IV - D5W [500 ML]
$15.30IV INFUSION ADDON EA HR
$113.40IV INFUSION THERAPY INIT SET UP 1.5 HR
$369.00IV - NACL 0.9% [1000 ML]
$19.80LAB TROPONIN
$101.70LAB VENIPUNCTURE
$22.50LACTIC ACID
$128.70LIPID PANEL
$139.50.MANUAL DIFFERENTIAL, BLOOD
$45.00NS 100mL Charge only
$8.10PROTHROMBIN TIME (005199)
$6.30.URINALYSIS, DIPSTICK AND MICROSCOPIC
$62.10XR CHEST CHILD 1 VIEW
$176.40ZOSYN 2.25 GRAM VIAL
$33.30This 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
$120.00Insurance Discount
-$6.00Price Negotiated by Insurer
$114.00Deductible 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.
AMIODARONE INJ [150 MG/3 ML]
$7.60BLOOD CULTURE, SET 1 (008300)
$27.55BLOOD GASES, ARTERIAL
$262.20.CAPILLARY SAMPLE COLLECTION
$25.65.COMPLETE BLOOD COUNT, WITH AUTO DIFF
$101.65.COMPLETE BLOOD COUNT, WITHOUT DIFF
$83.60COMPREHENSIVE METABOLIC PANEL
$204.25C-REACTIVE PROTEIN
$86.45CREATINE KINASE, TOTAL
$91.20CRITICAL CARE 1ST HOUR
$2,365.50CT ABDOMEN PELVIS WO CONTRAST
$2,257.20EKG - AMBULANCE
$170.05ER INJ SQ/IM
$87.40ER ROOM/OP ROOM COMPREHENSIVE 99285
$1,634.00ERYTHROCYTE SEDIMENTATION RATE, BLOOD
$55.10HEPARIN INJ 5000 units/ML
$24.70INS - NOVOLIN NPH [1 UNITS/0.01 ML]
$4.75IV - D5W [500 ML]
$16.15IV INFUSION ADDON EA HR
$119.70IV INFUSION THERAPY INIT SET UP 1.5 HR
$389.50IV - NACL 0.9% [1000 ML]
$20.90LAB TROPONIN
$107.35LAB VENIPUNCTURE
$23.75LACTIC ACID
$135.85LIPID PANEL
$147.25.MANUAL DIFFERENTIAL, BLOOD
$47.50NS 100mL Charge only
$8.55PROTHROMBIN TIME (005199)
$6.65.URINALYSIS, DIPSTICK AND MICROSCOPIC
$65.55XR CHEST CHILD 1 VIEW
$186.20ZOSYN 2.25 GRAM VIAL
$35.15This 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
$120.00Insurance Discount
$0.00Price Negotiated by Insurer
$120.00Deductible 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.
AMIODARONE INJ [150 MG/3 ML]
$8.00BLOOD CULTURE, SET 1 (008300)
$29.00BLOOD GASES, ARTERIAL
$276.00.CAPILLARY SAMPLE COLLECTION
$27.00.COMPLETE BLOOD COUNT, WITH AUTO DIFF
$107.00.COMPLETE BLOOD COUNT, WITHOUT DIFF
$88.00COMPREHENSIVE METABOLIC PANEL
$215.00C-REACTIVE PROTEIN
$91.00CREATINE KINASE, TOTAL
$96.00CRITICAL CARE 1ST HOUR
$2,490.00CT ABDOMEN PELVIS WO CONTRAST
$2,376.00EKG - AMBULANCE
$179.00ER INJ SQ/IM
$92.00ER ROOM/OP ROOM COMPREHENSIVE 99285
$1,720.00ERYTHROCYTE SEDIMENTATION RATE, BLOOD
$58.00HEPARIN INJ 5000 units/ML
$26.00INS - NOVOLIN NPH [1 UNITS/0.01 ML]
$5.00IV - D5W [500 ML]
$17.00IV INFUSION ADDON EA HR
$126.00IV INFUSION THERAPY INIT SET UP 1.5 HR
$410.00IV - NACL 0.9% [1000 ML]
$22.00LAB TROPONIN
$113.00LAB VENIPUNCTURE
$25.00LACTIC ACID
$143.00LIPID PANEL
$155.00.MANUAL DIFFERENTIAL, BLOOD
$50.00NS 100mL Charge only
$9.00PROTHROMBIN TIME (005199)
$7.00.URINALYSIS, DIPSTICK AND MICROSCOPIC
$69.00XR CHEST CHILD 1 VIEW
$196.00ZOSYN 2.25 GRAM VIAL
$37.00This 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
$120.00Insurance Discount
-$12.00Price Negotiated by Insurer
$108.00Deductible 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.
AMIODARONE INJ [150 MG/3 ML]
$7.20BLOOD CULTURE, SET 1 (008300)
$26.10BLOOD GASES, ARTERIAL
$248.40.CAPILLARY SAMPLE COLLECTION
$24.30.COMPLETE BLOOD COUNT, WITH AUTO DIFF
$96.30.COMPLETE BLOOD COUNT, WITHOUT DIFF
$79.20COMPREHENSIVE METABOLIC PANEL
$193.50C-REACTIVE PROTEIN
$81.90CREATINE KINASE, TOTAL
$86.40CRITICAL CARE 1ST HOUR
$2,241.00CT ABDOMEN PELVIS WO CONTRAST
$2,138.40EKG - AMBULANCE
$161.10ER INJ SQ/IM
$82.80ER ROOM/OP ROOM COMPREHENSIVE 99285
$1,548.00ERYTHROCYTE SEDIMENTATION RATE, BLOOD
$52.20HEPARIN INJ 5000 units/ML
$23.40INS - NOVOLIN NPH [1 UNITS/0.01 ML]
$4.50IV - D5W [500 ML]
$15.30IV INFUSION ADDON EA HR
$113.40IV INFUSION THERAPY INIT SET UP 1.5 HR
$369.00IV - NACL 0.9% [1000 ML]
$19.80LAB TROPONIN
$101.70LAB VENIPUNCTURE
$22.50LACTIC ACID
$128.70LIPID PANEL
$139.50.MANUAL DIFFERENTIAL, BLOOD
$45.00NS 100mL Charge only
$8.10PROTHROMBIN TIME (005199)
$6.30.URINALYSIS, DIPSTICK AND MICROSCOPIC
$62.10XR CHEST CHILD 1 VIEW
$176.40ZOSYN 2.25 GRAM VIAL
$33.30This 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
$120.00Insurance Discount
-$6.00Price Negotiated by Insurer
$114.00Deductible 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.
AMIODARONE INJ [150 MG/3 ML]
$7.60BLOOD CULTURE, SET 1 (008300)
$27.55BLOOD GASES, ARTERIAL
$262.20.CAPILLARY SAMPLE COLLECTION
$25.65.COMPLETE BLOOD COUNT, WITH AUTO DIFF
$101.65.COMPLETE BLOOD COUNT, WITHOUT DIFF
$83.60COMPREHENSIVE METABOLIC PANEL
$204.25C-REACTIVE PROTEIN
$86.45CREATINE KINASE, TOTAL
$91.20CRITICAL CARE 1ST HOUR
$2,365.50CT ABDOMEN PELVIS WO CONTRAST
$2,257.20EKG - AMBULANCE
$170.05ER INJ SQ/IM
$87.40ER ROOM/OP ROOM COMPREHENSIVE 99285
$1,634.00ERYTHROCYTE SEDIMENTATION RATE, BLOOD
$55.10HEPARIN INJ 5000 units/ML
$24.70INS - NOVOLIN NPH [1 UNITS/0.01 ML]
$4.75IV - D5W [500 ML]
$16.15IV INFUSION ADDON EA HR
$119.70IV INFUSION THERAPY INIT SET UP 1.5 HR
$389.50IV - NACL 0.9% [1000 ML]
$20.90LAB TROPONIN
$107.35LAB VENIPUNCTURE
$23.75LACTIC ACID
$135.85LIPID PANEL
$147.25.MANUAL DIFFERENTIAL, BLOOD
$47.50NS 100mL Charge only
$8.55PROTHROMBIN TIME (005199)
$6.65.URINALYSIS, DIPSTICK AND MICROSCOPIC
$65.55XR CHEST CHILD 1 VIEW
$186.20ZOSYN 2.25 GRAM VIAL
$35.15This 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
$120.00Insurance Discount
-$12.00Price Negotiated by Insurer
$108.00Deductible 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.
AMIODARONE INJ [150 MG/3 ML]
$7.20BLOOD CULTURE, SET 1 (008300)
$26.10BLOOD GASES, ARTERIAL
$248.40.CAPILLARY SAMPLE COLLECTION
$24.30.COMPLETE BLOOD COUNT, WITH AUTO DIFF
$96.30.COMPLETE BLOOD COUNT, WITHOUT DIFF
$79.20COMPREHENSIVE METABOLIC PANEL
$193.50C-REACTIVE PROTEIN
$81.90CREATINE KINASE, TOTAL
$86.40CRITICAL CARE 1ST HOUR
$2,241.00CT ABDOMEN PELVIS WO CONTRAST
$2,138.40EKG - AMBULANCE
$161.10ER INJ SQ/IM
$82.80ER ROOM/OP ROOM COMPREHENSIVE 99285
$1,548.00ERYTHROCYTE SEDIMENTATION RATE, BLOOD
$52.20HEPARIN INJ 5000 units/ML
$23.40INS - NOVOLIN NPH [1 UNITS/0.01 ML]
$4.50IV - D5W [500 ML]
$15.30IV INFUSION ADDON EA HR
$113.40IV INFUSION THERAPY INIT SET UP 1.5 HR
$369.00IV - NACL 0.9% [1000 ML]
$19.80LAB TROPONIN
$101.70LAB VENIPUNCTURE
$22.50LACTIC ACID
$128.70LIPID PANEL
$139.50.MANUAL DIFFERENTIAL, BLOOD
$45.00NS 100mL Charge only
$8.10PROTHROMBIN TIME (005199)
$6.30.URINALYSIS, DIPSTICK AND MICROSCOPIC
$62.10XR CHEST CHILD 1 VIEW
$176.40ZOSYN 2.25 GRAM VIAL
$33.30This 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
$120.00Insurance Discount
-$9.60Price Negotiated by Insurer
$110.40Deductible 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.
AMIODARONE INJ [150 MG/3 ML]
$7.36BLOOD CULTURE, SET 1 (008300)
$26.68BLOOD GASES, ARTERIAL
$253.92.CAPILLARY SAMPLE COLLECTION
$24.84.COMPLETE BLOOD COUNT, WITH AUTO DIFF
$98.44.COMPLETE BLOOD COUNT, WITHOUT DIFF
$80.96COMPREHENSIVE METABOLIC PANEL
$197.80C-REACTIVE PROTEIN
$83.72CREATINE KINASE, TOTAL
$88.32CRITICAL CARE 1ST HOUR
$2,290.80CT ABDOMEN PELVIS WO CONTRAST
$2,185.92EKG - AMBULANCE
$164.68ER INJ SQ/IM
$84.64ER ROOM/OP ROOM COMPREHENSIVE 99285
$1,582.40ERYTHROCYTE SEDIMENTATION RATE, BLOOD
$53.36HEPARIN INJ 5000 units/ML
$23.92INS - NOVOLIN NPH [1 UNITS/0.01 ML]
$4.60IV - D5W [500 ML]
$15.64IV INFUSION ADDON EA HR
$115.92IV INFUSION THERAPY INIT SET UP 1.5 HR
$377.20IV - NACL 0.9% [1000 ML]
$20.24LAB TROPONIN
$103.96LAB VENIPUNCTURE
$23.00LACTIC ACID
$131.56LIPID PANEL
$142.60.MANUAL DIFFERENTIAL, BLOOD
$46.00NS 100mL Charge only
$8.28PROTHROMBIN TIME (005199)
$6.44.URINALYSIS, DIPSTICK AND MICROSCOPIC
$63.48XR CHEST CHILD 1 VIEW
$180.32ZOSYN 2.25 GRAM VIAL
$34.04This 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
$120.00Insurance Discount
-$36.00Price Negotiated by Insurer
$84.00Deductible 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.
AMIODARONE INJ [150 MG/3 ML]
$5.60BLOOD CULTURE, SET 1 (008300)
$20.30BLOOD GASES, ARTERIAL
$193.20.CAPILLARY SAMPLE COLLECTION
$18.90.COMPLETE BLOOD COUNT, WITH AUTO DIFF
$74.90.COMPLETE BLOOD COUNT, WITHOUT DIFF
$61.60COMPREHENSIVE METABOLIC PANEL
$150.50C-REACTIVE PROTEIN
$63.70CREATINE KINASE, TOTAL
$67.20CRITICAL CARE 1ST HOUR
$1,743.00CT ABDOMEN PELVIS WO CONTRAST
$1,663.20EKG - AMBULANCE
$125.30ER INJ SQ/IM
$64.40ER ROOM/OP ROOM COMPREHENSIVE 99285
$1,204.00ERYTHROCYTE SEDIMENTATION RATE, BLOOD
$40.60HEPARIN INJ 5000 units/ML
$18.20INS - NOVOLIN NPH [1 UNITS/0.01 ML]
$3.50IV - D5W [500 ML]
$11.90IV INFUSION ADDON EA HR
$88.20IV INFUSION THERAPY INIT SET UP 1.5 HR
$287.00IV - NACL 0.9% [1000 ML]
$15.40LAB TROPONIN
$79.10LAB VENIPUNCTURE
$17.50LACTIC ACID
$100.10LIPID PANEL
$108.50.MANUAL DIFFERENTIAL, BLOOD
$35.00NS 100mL Charge only
$6.30PROTHROMBIN TIME (005199)
$4.90.URINALYSIS, DIPSTICK AND MICROSCOPIC
$48.30XR CHEST CHILD 1 VIEW
$137.20ZOSYN 2.25 GRAM VIAL
$25.90This 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
$120.00Insurance Discount
-$6.00Price Negotiated by Insurer
$114.00Deductible 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.
AMIODARONE INJ [150 MG/3 ML]
$7.60BLOOD CULTURE, SET 1 (008300)
$27.55BLOOD GASES, ARTERIAL
$262.20.CAPILLARY SAMPLE COLLECTION
$25.65.COMPLETE BLOOD COUNT, WITH AUTO DIFF
$101.65.COMPLETE BLOOD COUNT, WITHOUT DIFF
$83.60COMPREHENSIVE METABOLIC PANEL
$204.25C-REACTIVE PROTEIN
$86.45CREATINE KINASE, TOTAL
$91.20CRITICAL CARE 1ST HOUR
$2,365.50CT ABDOMEN PELVIS WO CONTRAST
$2,257.20EKG - AMBULANCE
$170.05ER INJ SQ/IM
$87.40ER ROOM/OP ROOM COMPREHENSIVE 99285
$1,634.00ERYTHROCYTE SEDIMENTATION RATE, BLOOD
$55.10HEPARIN INJ 5000 units/ML
$24.70INS - NOVOLIN NPH [1 UNITS/0.01 ML]
$4.75IV - D5W [500 ML]
$16.15IV INFUSION ADDON EA HR
$119.70IV INFUSION THERAPY INIT SET UP 1.5 HR
$389.50IV - NACL 0.9% [1000 ML]
$20.90LAB TROPONIN
$107.35LAB VENIPUNCTURE
$23.75LACTIC ACID
$135.85LIPID PANEL
$147.25.MANUAL DIFFERENTIAL, BLOOD
$47.50NS 100mL Charge only
$8.55PROTHROMBIN TIME (005199)
$6.65.URINALYSIS, DIPSTICK AND MICROSCOPIC
$65.55XR CHEST CHILD 1 VIEW
$186.20ZOSYN 2.25 GRAM VIAL
$35.15This 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
$120.00Insurance Discount
-$3.60Price Negotiated by Insurer
$116.40Deductible 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.
AMIODARONE INJ [150 MG/3 ML]
$7.76BLOOD CULTURE, SET 1 (008300)
$28.13BLOOD GASES, ARTERIAL
$267.72.CAPILLARY SAMPLE COLLECTION
$26.19.COMPLETE BLOOD COUNT, WITH AUTO DIFF
$103.79.COMPLETE BLOOD COUNT, WITHOUT DIFF
$85.36COMPREHENSIVE METABOLIC PANEL
$208.55C-REACTIVE PROTEIN
$88.27CREATINE KINASE, TOTAL
$93.12CRITICAL CARE 1ST HOUR
$2,415.30CT ABDOMEN PELVIS WO CONTRAST
$2,304.72EKG - AMBULANCE
$173.63ER INJ SQ/IM
$89.24ER ROOM/OP ROOM COMPREHENSIVE 99285
$1,668.40ERYTHROCYTE SEDIMENTATION RATE, BLOOD
$56.26HEPARIN INJ 5000 units/ML
$25.22INS - NOVOLIN NPH [1 UNITS/0.01 ML]
$4.85IV - D5W [500 ML]
$16.49IV INFUSION ADDON EA HR
$122.22IV INFUSION THERAPY INIT SET UP 1.5 HR
$397.70IV - NACL 0.9% [1000 ML]
$21.34LAB TROPONIN
$109.61LAB VENIPUNCTURE
$24.25LACTIC ACID
$138.71LIPID PANEL
$150.35.MANUAL DIFFERENTIAL, BLOOD
$48.50NS 100mL Charge only
$8.73PROTHROMBIN TIME (005199)
$6.79.URINALYSIS, DIPSTICK AND MICROSCOPIC
$66.93XR CHEST CHILD 1 VIEW
$190.12ZOSYN 2.25 GRAM VIAL
$35.89This 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
$120.00Insurance Discount
-$6.00Price Negotiated by Insurer
$114.00Deductible 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.
AMIODARONE INJ [150 MG/3 ML]
$7.60BLOOD CULTURE, SET 1 (008300)
$27.55BLOOD GASES, ARTERIAL
$262.20.CAPILLARY SAMPLE COLLECTION
$25.65.COMPLETE BLOOD COUNT, WITH AUTO DIFF
$101.65.COMPLETE BLOOD COUNT, WITHOUT DIFF
$83.60COMPREHENSIVE METABOLIC PANEL
$204.25C-REACTIVE PROTEIN
$86.45CREATINE KINASE, TOTAL
$91.20CRITICAL CARE 1ST HOUR
$2,365.50CT ABDOMEN PELVIS WO CONTRAST
$2,257.20EKG - AMBULANCE
$170.05ER INJ SQ/IM
$87.40ER ROOM/OP ROOM COMPREHENSIVE 99285
$1,634.00ERYTHROCYTE SEDIMENTATION RATE, BLOOD
$55.10HEPARIN INJ 5000 units/ML
$24.70INS - NOVOLIN NPH [1 UNITS/0.01 ML]
$4.75IV - D5W [500 ML]
$16.15IV INFUSION ADDON EA HR
$119.70IV INFUSION THERAPY INIT SET UP 1.5 HR
$389.50IV - NACL 0.9% [1000 ML]
$20.90LAB TROPONIN
$107.35LAB VENIPUNCTURE
$23.75LACTIC ACID
$135.85LIPID PANEL
$147.25.MANUAL DIFFERENTIAL, BLOOD
$47.50NS 100mL Charge only
$8.55PROTHROMBIN TIME (005199)
$6.65.URINALYSIS, DIPSTICK AND MICROSCOPIC
$65.55XR CHEST CHILD 1 VIEW
$186.20ZOSYN 2.25 GRAM VIAL
$35.15This 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
$120.00Insurance Discount
-$6.00Price Negotiated by Insurer
$114.00Deductible 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.
AMIODARONE INJ [150 MG/3 ML]
$7.60BLOOD CULTURE, SET 1 (008300)
$27.55BLOOD GASES, ARTERIAL
$262.20.CAPILLARY SAMPLE COLLECTION
$25.65.COMPLETE BLOOD COUNT, WITH AUTO DIFF
$101.65.COMPLETE BLOOD COUNT, WITHOUT DIFF
$83.60COMPREHENSIVE METABOLIC PANEL
$204.25C-REACTIVE PROTEIN
$86.45CREATINE KINASE, TOTAL
$91.20CRITICAL CARE 1ST HOUR
$2,365.50CT ABDOMEN PELVIS WO CONTRAST
$2,257.20EKG - AMBULANCE
$170.05ER INJ SQ/IM
$87.40ER ROOM/OP ROOM COMPREHENSIVE 99285
$1,634.00ERYTHROCYTE SEDIMENTATION RATE, BLOOD
$55.10HEPARIN INJ 5000 units/ML
$24.70INS - NOVOLIN NPH [1 UNITS/0.01 ML]
$4.75IV - D5W [500 ML]
$16.15IV INFUSION ADDON EA HR
$119.70IV INFUSION THERAPY INIT SET UP 1.5 HR
$389.50IV - NACL 0.9% [1000 ML]
$20.90LAB TROPONIN
$107.35LAB VENIPUNCTURE
$23.75LACTIC ACID
$135.85LIPID PANEL
$147.25.MANUAL DIFFERENTIAL, BLOOD
$47.50NS 100mL Charge only
$8.55PROTHROMBIN TIME (005199)
$6.65.URINALYSIS, DIPSTICK AND MICROSCOPIC
$65.55XR CHEST CHILD 1 VIEW
$186.20ZOSYN 2.25 GRAM VIAL
$35.15This 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.