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.
BLOOD CULTURE, SET 1 (008300)
$61.75.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
$86.45CT ABDOMEN PELVIS W CONTRAST
$3,046.65CT OMNIPAQUE CONTRAST 350 ML
$295.45EKG - AMBULANCE
$170.05ER ROOM/OP ROOM COMPREHENSIVE 99285
$1,731.85IV INFUSION ADDON EA HR
$119.70IV INFUSION THERAPY INIT SET UP 1.5 HR
$389.50IV - NACL 0.9% [1000 ML]
$20.90IV PUSH EA ADD'L DRUG
$139.65LAB TROPONIN
$114.00LAB VENIPUNCTURE
$25.65LACTIC ACID
$135.85.MANUAL DIFFERENTIAL, BLOOD
$47.50NABUMETONE TAB [500 MG] NF
$7.60NS 100mL Charge only
$8.55ONDANSETRON INJ [2 MG/ML]
$24.70OPO PER HOUR 2 OR MORE
$49.40PIPERACILLIN/TAZOBACTAM 4.5GM VIAL
$66.50PROTIME/INR
$63.65.URINALYSIS, DIPSTICK AND MICROSCOPIC
$65.55This 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.
BLOOD CULTURE, SET 1 (008300)
$58.50.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
$81.90CT ABDOMEN PELVIS W CONTRAST
$2,886.30CT OMNIPAQUE CONTRAST 350 ML
$279.90EKG - AMBULANCE
$161.10ER ROOM/OP ROOM COMPREHENSIVE 99285
$1,640.70IV INFUSION ADDON EA HR
$113.40IV INFUSION THERAPY INIT SET UP 1.5 HR
$369.00IV - NACL 0.9% [1000 ML]
$19.80IV PUSH EA ADD'L DRUG
$132.30LAB TROPONIN
$108.00LAB VENIPUNCTURE
$24.30LACTIC ACID
$128.70.MANUAL DIFFERENTIAL, BLOOD
$45.00NABUMETONE TAB [500 MG] NF
$7.20NS 100mL Charge only
$8.10ONDANSETRON INJ [2 MG/ML]
$23.40OPO PER HOUR 2 OR MORE
$46.80PIPERACILLIN/TAZOBACTAM 4.5GM VIAL
$63.00PROTIME/INR
$60.30.URINALYSIS, DIPSTICK AND MICROSCOPIC
$62.10This 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.
BLOOD CULTURE, SET 1 (008300)
$58.50.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
$81.90CT ABDOMEN PELVIS W CONTRAST
$2,886.30CT OMNIPAQUE CONTRAST 350 ML
$279.90EKG - AMBULANCE
$161.10ER ROOM/OP ROOM COMPREHENSIVE 99285
$1,640.70IV INFUSION ADDON EA HR
$113.40IV INFUSION THERAPY INIT SET UP 1.5 HR
$369.00IV - NACL 0.9% [1000 ML]
$19.80IV PUSH EA ADD'L DRUG
$132.30LAB TROPONIN
$108.00LAB VENIPUNCTURE
$24.30LACTIC ACID
$128.70.MANUAL DIFFERENTIAL, BLOOD
$45.00NABUMETONE TAB [500 MG] NF
$7.20NS 100mL Charge only
$8.10ONDANSETRON INJ [2 MG/ML]
$23.40OPO PER HOUR 2 OR MORE
$46.80PIPERACILLIN/TAZOBACTAM 4.5GM VIAL
$63.00PROTIME/INR
$60.30.URINALYSIS, DIPSTICK AND MICROSCOPIC
$62.10This 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.
BLOOD CULTURE, SET 1 (008300)
$61.75.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
$86.45CT ABDOMEN PELVIS W CONTRAST
$3,046.65CT OMNIPAQUE CONTRAST 350 ML
$295.45EKG - AMBULANCE
$170.05ER ROOM/OP ROOM COMPREHENSIVE 99285
$1,731.85IV INFUSION ADDON EA HR
$119.70IV INFUSION THERAPY INIT SET UP 1.5 HR
$389.50IV - NACL 0.9% [1000 ML]
$20.90IV PUSH EA ADD'L DRUG
$139.65LAB TROPONIN
$114.00LAB VENIPUNCTURE
$25.65LACTIC ACID
$135.85.MANUAL DIFFERENTIAL, BLOOD
$47.50NABUMETONE TAB [500 MG] NF
$7.60NS 100mL Charge only
$8.55ONDANSETRON INJ [2 MG/ML]
$24.70OPO PER HOUR 2 OR MORE
$49.40PIPERACILLIN/TAZOBACTAM 4.5GM VIAL
$66.50PROTIME/INR
$63.65.URINALYSIS, DIPSTICK AND MICROSCOPIC
$65.55This 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.
BLOOD CULTURE, SET 1 (008300)
$58.50.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
$81.90CT ABDOMEN PELVIS W CONTRAST
$2,886.30CT OMNIPAQUE CONTRAST 350 ML
$279.90EKG - AMBULANCE
$161.10ER ROOM/OP ROOM COMPREHENSIVE 99285
$1,640.70IV INFUSION ADDON EA HR
$113.40IV INFUSION THERAPY INIT SET UP 1.5 HR
$369.00IV - NACL 0.9% [1000 ML]
$19.80IV PUSH EA ADD'L DRUG
$132.30LAB TROPONIN
$108.00LAB VENIPUNCTURE
$24.30LACTIC ACID
$128.70.MANUAL DIFFERENTIAL, BLOOD
$45.00NABUMETONE TAB [500 MG] NF
$7.20NS 100mL Charge only
$8.10ONDANSETRON INJ [2 MG/ML]
$23.40OPO PER HOUR 2 OR MORE
$46.80PIPERACILLIN/TAZOBACTAM 4.5GM VIAL
$63.00PROTIME/INR
$60.30.URINALYSIS, DIPSTICK AND MICROSCOPIC
$62.10This 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.
BLOOD CULTURE, SET 1 (008300)
$58.50.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
$81.90CT ABDOMEN PELVIS W CONTRAST
$2,886.30CT OMNIPAQUE CONTRAST 350 ML
$279.90EKG - AMBULANCE
$161.10ER ROOM/OP ROOM COMPREHENSIVE 99285
$1,640.70IV INFUSION ADDON EA HR
$113.40IV INFUSION THERAPY INIT SET UP 1.5 HR
$369.00IV - NACL 0.9% [1000 ML]
$19.80IV PUSH EA ADD'L DRUG
$132.30LAB TROPONIN
$108.00LAB VENIPUNCTURE
$24.30LACTIC ACID
$128.70.MANUAL DIFFERENTIAL, BLOOD
$45.00NABUMETONE TAB [500 MG] NF
$7.20NS 100mL Charge only
$8.10ONDANSETRON INJ [2 MG/ML]
$23.40OPO PER HOUR 2 OR MORE
$46.80PIPERACILLIN/TAZOBACTAM 4.5GM VIAL
$63.00PROTIME/INR
$60.30.URINALYSIS, DIPSTICK AND MICROSCOPIC
$62.10This 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.
BLOOD CULTURE, SET 1 (008300)
$61.75.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
$86.45CT ABDOMEN PELVIS W CONTRAST
$3,046.65CT OMNIPAQUE CONTRAST 350 ML
$295.45EKG - AMBULANCE
$170.05ER ROOM/OP ROOM COMPREHENSIVE 99285
$1,731.85IV INFUSION ADDON EA HR
$119.70IV INFUSION THERAPY INIT SET UP 1.5 HR
$389.50IV - NACL 0.9% [1000 ML]
$20.90IV PUSH EA ADD'L DRUG
$139.65LAB TROPONIN
$114.00LAB VENIPUNCTURE
$25.65LACTIC ACID
$135.85.MANUAL DIFFERENTIAL, BLOOD
$47.50NABUMETONE TAB [500 MG] NF
$7.60NS 100mL Charge only
$8.55ONDANSETRON INJ [2 MG/ML]
$24.70OPO PER HOUR 2 OR MORE
$49.40PIPERACILLIN/TAZOBACTAM 4.5GM VIAL
$66.50PROTIME/INR
$63.65.URINALYSIS, DIPSTICK AND MICROSCOPIC
$65.55This 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.
BLOOD CULTURE, SET 1 (008300)
$65.00.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
$91.00CT ABDOMEN PELVIS W CONTRAST
$3,207.00CT OMNIPAQUE CONTRAST 350 ML
$311.00EKG - AMBULANCE
$179.00ER ROOM/OP ROOM COMPREHENSIVE 99285
$1,823.00IV INFUSION ADDON EA HR
$126.00IV INFUSION THERAPY INIT SET UP 1.5 HR
$410.00IV - NACL 0.9% [1000 ML]
$22.00IV PUSH EA ADD'L DRUG
$147.00LAB TROPONIN
$120.00LAB VENIPUNCTURE
$27.00LACTIC ACID
$143.00.MANUAL DIFFERENTIAL, BLOOD
$50.00NABUMETONE TAB [500 MG] NF
$8.00NS 100mL Charge only
$9.00ONDANSETRON INJ [2 MG/ML]
$26.00OPO PER HOUR 2 OR MORE
$52.00PIPERACILLIN/TAZOBACTAM 4.5GM VIAL
$70.00PROTIME/INR
$67.00.URINALYSIS, DIPSTICK AND MICROSCOPIC
$69.00This 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.
BLOOD CULTURE, SET 1 (008300)
$58.50.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
$81.90CT ABDOMEN PELVIS W CONTRAST
$2,886.30CT OMNIPAQUE CONTRAST 350 ML
$279.90EKG - AMBULANCE
$161.10ER ROOM/OP ROOM COMPREHENSIVE 99285
$1,640.70IV INFUSION ADDON EA HR
$113.40IV INFUSION THERAPY INIT SET UP 1.5 HR
$369.00IV - NACL 0.9% [1000 ML]
$19.80IV PUSH EA ADD'L DRUG
$132.30LAB TROPONIN
$108.00LAB VENIPUNCTURE
$24.30LACTIC ACID
$128.70.MANUAL DIFFERENTIAL, BLOOD
$45.00NABUMETONE TAB [500 MG] NF
$7.20NS 100mL Charge only
$8.10ONDANSETRON INJ [2 MG/ML]
$23.40OPO PER HOUR 2 OR MORE
$46.80PIPERACILLIN/TAZOBACTAM 4.5GM VIAL
$63.00PROTIME/INR
$60.30.URINALYSIS, DIPSTICK AND MICROSCOPIC
$62.10This 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.
BLOOD CULTURE, SET 1 (008300)
$61.75.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
$86.45CT ABDOMEN PELVIS W CONTRAST
$3,046.65CT OMNIPAQUE CONTRAST 350 ML
$295.45EKG - AMBULANCE
$170.05ER ROOM/OP ROOM COMPREHENSIVE 99285
$1,731.85IV INFUSION ADDON EA HR
$119.70IV INFUSION THERAPY INIT SET UP 1.5 HR
$389.50IV - NACL 0.9% [1000 ML]
$20.90IV PUSH EA ADD'L DRUG
$139.65LAB TROPONIN
$114.00LAB VENIPUNCTURE
$25.65LACTIC ACID
$135.85.MANUAL DIFFERENTIAL, BLOOD
$47.50NABUMETONE TAB [500 MG] NF
$7.60NS 100mL Charge only
$8.55ONDANSETRON INJ [2 MG/ML]
$24.70OPO PER HOUR 2 OR MORE
$49.40PIPERACILLIN/TAZOBACTAM 4.5GM VIAL
$66.50PROTIME/INR
$63.65.URINALYSIS, DIPSTICK AND MICROSCOPIC
$65.55This 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.
BLOOD CULTURE, SET 1 (008300)
$58.50.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
$81.90CT ABDOMEN PELVIS W CONTRAST
$2,886.30CT OMNIPAQUE CONTRAST 350 ML
$279.90EKG - AMBULANCE
$161.10ER ROOM/OP ROOM COMPREHENSIVE 99285
$1,640.70IV INFUSION ADDON EA HR
$113.40IV INFUSION THERAPY INIT SET UP 1.5 HR
$369.00IV - NACL 0.9% [1000 ML]
$19.80IV PUSH EA ADD'L DRUG
$132.30LAB TROPONIN
$108.00LAB VENIPUNCTURE
$24.30LACTIC ACID
$128.70.MANUAL DIFFERENTIAL, BLOOD
$45.00NABUMETONE TAB [500 MG] NF
$7.20NS 100mL Charge only
$8.10ONDANSETRON INJ [2 MG/ML]
$23.40OPO PER HOUR 2 OR MORE
$46.80PIPERACILLIN/TAZOBACTAM 4.5GM VIAL
$63.00PROTIME/INR
$60.30.URINALYSIS, DIPSTICK AND MICROSCOPIC
$62.10This 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.
BLOOD CULTURE, SET 1 (008300)
$59.80.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
$83.72CT ABDOMEN PELVIS W CONTRAST
$2,950.44CT OMNIPAQUE CONTRAST 350 ML
$286.12EKG - AMBULANCE
$164.68ER ROOM/OP ROOM COMPREHENSIVE 99285
$1,677.16IV INFUSION ADDON EA HR
$115.92IV INFUSION THERAPY INIT SET UP 1.5 HR
$377.20IV - NACL 0.9% [1000 ML]
$20.24IV PUSH EA ADD'L DRUG
$135.24LAB TROPONIN
$110.40LAB VENIPUNCTURE
$24.84LACTIC ACID
$131.56.MANUAL DIFFERENTIAL, BLOOD
$46.00NABUMETONE TAB [500 MG] NF
$7.36NS 100mL Charge only
$8.28ONDANSETRON INJ [2 MG/ML]
$23.92OPO PER HOUR 2 OR MORE
$47.84PIPERACILLIN/TAZOBACTAM 4.5GM VIAL
$64.40PROTIME/INR
$61.64.URINALYSIS, DIPSTICK AND MICROSCOPIC
$63.48This 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.
BLOOD CULTURE, SET 1 (008300)
$45.50.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
$63.70CT ABDOMEN PELVIS W CONTRAST
$2,244.90CT OMNIPAQUE CONTRAST 350 ML
$217.70EKG - AMBULANCE
$125.30ER ROOM/OP ROOM COMPREHENSIVE 99285
$1,276.10IV INFUSION ADDON EA HR
$88.20IV INFUSION THERAPY INIT SET UP 1.5 HR
$287.00IV - NACL 0.9% [1000 ML]
$15.40IV PUSH EA ADD'L DRUG
$102.90LAB TROPONIN
$84.00LAB VENIPUNCTURE
$18.90LACTIC ACID
$100.10.MANUAL DIFFERENTIAL, BLOOD
$35.00NABUMETONE TAB [500 MG] NF
$5.60NS 100mL Charge only
$6.30ONDANSETRON INJ [2 MG/ML]
$18.20OPO PER HOUR 2 OR MORE
$36.40PIPERACILLIN/TAZOBACTAM 4.5GM VIAL
$49.00PROTIME/INR
$46.90.URINALYSIS, DIPSTICK AND MICROSCOPIC
$48.30This 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.
BLOOD CULTURE, SET 1 (008300)
$61.75.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
$86.45CT ABDOMEN PELVIS W CONTRAST
$3,046.65CT OMNIPAQUE CONTRAST 350 ML
$295.45EKG - AMBULANCE
$170.05ER ROOM/OP ROOM COMPREHENSIVE 99285
$1,731.85IV INFUSION ADDON EA HR
$119.70IV INFUSION THERAPY INIT SET UP 1.5 HR
$389.50IV - NACL 0.9% [1000 ML]
$20.90IV PUSH EA ADD'L DRUG
$139.65LAB TROPONIN
$114.00LAB VENIPUNCTURE
$25.65LACTIC ACID
$135.85.MANUAL DIFFERENTIAL, BLOOD
$47.50NABUMETONE TAB [500 MG] NF
$7.60NS 100mL Charge only
$8.55ONDANSETRON INJ [2 MG/ML]
$24.70OPO PER HOUR 2 OR MORE
$49.40PIPERACILLIN/TAZOBACTAM 4.5GM VIAL
$66.50PROTIME/INR
$63.65.URINALYSIS, DIPSTICK AND MICROSCOPIC
$65.55This 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.
BLOOD CULTURE, SET 1 (008300)
$63.05.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
$88.27CT ABDOMEN PELVIS W CONTRAST
$3,110.79CT OMNIPAQUE CONTRAST 350 ML
$301.67EKG - AMBULANCE
$173.63ER ROOM/OP ROOM COMPREHENSIVE 99285
$1,768.31IV INFUSION ADDON EA HR
$122.22IV INFUSION THERAPY INIT SET UP 1.5 HR
$397.70IV - NACL 0.9% [1000 ML]
$21.34IV PUSH EA ADD'L DRUG
$142.59LAB TROPONIN
$116.40LAB VENIPUNCTURE
$26.19LACTIC ACID
$138.71.MANUAL DIFFERENTIAL, BLOOD
$48.50NABUMETONE TAB [500 MG] NF
$7.76NS 100mL Charge only
$8.73ONDANSETRON INJ [2 MG/ML]
$25.22OPO PER HOUR 2 OR MORE
$50.44PIPERACILLIN/TAZOBACTAM 4.5GM VIAL
$67.90PROTIME/INR
$64.99.URINALYSIS, DIPSTICK AND MICROSCOPIC
$66.93This 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.
BLOOD CULTURE, SET 1 (008300)
$61.75.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
$86.45CT ABDOMEN PELVIS W CONTRAST
$3,046.65CT OMNIPAQUE CONTRAST 350 ML
$295.45EKG - AMBULANCE
$170.05ER ROOM/OP ROOM COMPREHENSIVE 99285
$1,731.85IV INFUSION ADDON EA HR
$119.70IV INFUSION THERAPY INIT SET UP 1.5 HR
$389.50IV - NACL 0.9% [1000 ML]
$20.90IV PUSH EA ADD'L DRUG
$139.65LAB TROPONIN
$114.00LAB VENIPUNCTURE
$25.65LACTIC ACID
$135.85.MANUAL DIFFERENTIAL, BLOOD
$47.50NABUMETONE TAB [500 MG] NF
$7.60NS 100mL Charge only
$8.55ONDANSETRON INJ [2 MG/ML]
$24.70OPO PER HOUR 2 OR MORE
$49.40PIPERACILLIN/TAZOBACTAM 4.5GM VIAL
$66.50PROTIME/INR
$63.65.URINALYSIS, DIPSTICK AND MICROSCOPIC
$65.55This 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.
BLOOD CULTURE, SET 1 (008300)
$61.75.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
$86.45CT ABDOMEN PELVIS W CONTRAST
$3,046.65CT OMNIPAQUE CONTRAST 350 ML
$295.45EKG - AMBULANCE
$170.05ER ROOM/OP ROOM COMPREHENSIVE 99285
$1,731.85IV INFUSION ADDON EA HR
$119.70IV INFUSION THERAPY INIT SET UP 1.5 HR
$389.50IV - NACL 0.9% [1000 ML]
$20.90IV PUSH EA ADD'L DRUG
$139.65LAB TROPONIN
$114.00LAB VENIPUNCTURE
$25.65LACTIC ACID
$135.85.MANUAL DIFFERENTIAL, BLOOD
$47.50NABUMETONE TAB [500 MG] NF
$7.60NS 100mL Charge only
$8.55ONDANSETRON INJ [2 MG/ML]
$24.70OPO PER HOUR 2 OR MORE
$49.40PIPERACILLIN/TAZOBACTAM 4.5GM VIAL
$66.50PROTIME/INR
$63.65.URINALYSIS, DIPSTICK AND MICROSCOPIC
$65.55This 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.