CPT J0456
The standard charge for Injection, azithromycin, 500 mg is $36.00. 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
$36.00Insurance Discount
-$1.80Price Negotiated by Insurer
$34.20Deductible 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)
$61.75B-TYPE NATRIURETIC PEPTIDE RVMC
$323.95cefTRIAXone (ROCEPHIN) 2GM INJ
$24.70.COMPLETE BLOOD COUNT, WITH AUTO DIFF
$101.65COMPREHENSIVE METABOLIC PANEL
$204.25C-REACTIVE PROTEIN
$86.45CT OMNIPAQUE CONTRAST 350 ML
$295.45D-DIMER QUANTITIVE
$165.30EKG - AMBULANCE
$170.05ER ROOM/OP ROOM COMPREHENSIVE 99285
$1,731.85ER ROOM/OP ROOM EXTENDED 99284
$1,159.95HYDRATION IV INFUSION, ADD-ON
$108.30IV INFUSION ADDTL DRUG
$145.35IV 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
$135.85NABUMETONE TAB [500 MG] NF
$7.60NS 100mL Charge only
$8.55PROTIME/INR
$63.65XR CHEST SINGLE VIEW
$236.55This 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
$36.00Insurance Discount
-$3.60Price Negotiated by Insurer
$32.40Deductible 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)
$58.50B-TYPE NATRIURETIC PEPTIDE RVMC
$306.90cefTRIAXone (ROCEPHIN) 2GM INJ
$23.40.COMPLETE BLOOD COUNT, WITH AUTO DIFF
$96.30COMPREHENSIVE METABOLIC PANEL
$193.50C-REACTIVE PROTEIN
$81.90CT OMNIPAQUE CONTRAST 350 ML
$279.90D-DIMER QUANTITIVE
$156.60EKG - AMBULANCE
$161.10ER ROOM/OP ROOM COMPREHENSIVE 99285
$1,640.70ER ROOM/OP ROOM EXTENDED 99284
$1,098.90HYDRATION IV INFUSION, ADD-ON
$102.60IV INFUSION ADDTL DRUG
$137.70IV 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
$128.70NABUMETONE TAB [500 MG] NF
$7.20NS 100mL Charge only
$8.10PROTIME/INR
$60.30XR CHEST SINGLE VIEW
$224.10This 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
$36.00Insurance Discount
-$3.60Price Negotiated by Insurer
$32.40Deductible 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)
$58.50B-TYPE NATRIURETIC PEPTIDE RVMC
$306.90cefTRIAXone (ROCEPHIN) 2GM INJ
$23.40.COMPLETE BLOOD COUNT, WITH AUTO DIFF
$96.30COMPREHENSIVE METABOLIC PANEL
$193.50C-REACTIVE PROTEIN
$81.90CT OMNIPAQUE CONTRAST 350 ML
$279.90D-DIMER QUANTITIVE
$156.60EKG - AMBULANCE
$161.10ER ROOM/OP ROOM COMPREHENSIVE 99285
$1,640.70ER ROOM/OP ROOM EXTENDED 99284
$1,098.90HYDRATION IV INFUSION, ADD-ON
$102.60IV INFUSION ADDTL DRUG
$137.70IV 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
$128.70NABUMETONE TAB [500 MG] NF
$7.20NS 100mL Charge only
$8.10PROTIME/INR
$60.30XR CHEST SINGLE VIEW
$224.10This 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
$36.00Insurance Discount
-$1.80Price Negotiated by Insurer
$34.20Deductible 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)
$61.75B-TYPE NATRIURETIC PEPTIDE RVMC
$323.95cefTRIAXone (ROCEPHIN) 2GM INJ
$24.70.COMPLETE BLOOD COUNT, WITH AUTO DIFF
$101.65COMPREHENSIVE METABOLIC PANEL
$204.25C-REACTIVE PROTEIN
$86.45CT OMNIPAQUE CONTRAST 350 ML
$295.45D-DIMER QUANTITIVE
$165.30EKG - AMBULANCE
$170.05ER ROOM/OP ROOM COMPREHENSIVE 99285
$1,731.85ER ROOM/OP ROOM EXTENDED 99284
$1,159.95HYDRATION IV INFUSION, ADD-ON
$108.30IV INFUSION ADDTL DRUG
$145.35IV 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
$135.85NABUMETONE TAB [500 MG] NF
$7.60NS 100mL Charge only
$8.55PROTIME/INR
$63.65XR CHEST SINGLE VIEW
$236.55This 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
$36.00Insurance Discount
-$3.60Price Negotiated by Insurer
$32.40Deductible 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)
$58.50B-TYPE NATRIURETIC PEPTIDE RVMC
$306.90cefTRIAXone (ROCEPHIN) 2GM INJ
$23.40.COMPLETE BLOOD COUNT, WITH AUTO DIFF
$96.30COMPREHENSIVE METABOLIC PANEL
$193.50C-REACTIVE PROTEIN
$81.90CT OMNIPAQUE CONTRAST 350 ML
$279.90D-DIMER QUANTITIVE
$156.60EKG - AMBULANCE
$161.10ER ROOM/OP ROOM COMPREHENSIVE 99285
$1,640.70ER ROOM/OP ROOM EXTENDED 99284
$1,098.90HYDRATION IV INFUSION, ADD-ON
$102.60IV INFUSION ADDTL DRUG
$137.70IV 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
$128.70NABUMETONE TAB [500 MG] NF
$7.20NS 100mL Charge only
$8.10PROTIME/INR
$60.30XR CHEST SINGLE VIEW
$224.10This 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
$36.00Insurance Discount
-$3.60Price Negotiated by Insurer
$32.40Deductible 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)
$58.50B-TYPE NATRIURETIC PEPTIDE RVMC
$306.90cefTRIAXone (ROCEPHIN) 2GM INJ
$23.40.COMPLETE BLOOD COUNT, WITH AUTO DIFF
$96.30COMPREHENSIVE METABOLIC PANEL
$193.50C-REACTIVE PROTEIN
$81.90CT OMNIPAQUE CONTRAST 350 ML
$279.90D-DIMER QUANTITIVE
$156.60EKG - AMBULANCE
$161.10ER ROOM/OP ROOM COMPREHENSIVE 99285
$1,640.70ER ROOM/OP ROOM EXTENDED 99284
$1,098.90HYDRATION IV INFUSION, ADD-ON
$102.60IV INFUSION ADDTL DRUG
$137.70IV 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
$128.70NABUMETONE TAB [500 MG] NF
$7.20NS 100mL Charge only
$8.10PROTIME/INR
$60.30XR CHEST SINGLE VIEW
$224.10This 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
$36.00Insurance Discount
-$1.80Price Negotiated by Insurer
$34.20Deductible 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)
$61.75B-TYPE NATRIURETIC PEPTIDE RVMC
$323.95cefTRIAXone (ROCEPHIN) 2GM INJ
$24.70.COMPLETE BLOOD COUNT, WITH AUTO DIFF
$101.65COMPREHENSIVE METABOLIC PANEL
$204.25C-REACTIVE PROTEIN
$86.45CT OMNIPAQUE CONTRAST 350 ML
$295.45D-DIMER QUANTITIVE
$165.30EKG - AMBULANCE
$170.05ER ROOM/OP ROOM COMPREHENSIVE 99285
$1,731.85ER ROOM/OP ROOM EXTENDED 99284
$1,159.95HYDRATION IV INFUSION, ADD-ON
$108.30IV INFUSION ADDTL DRUG
$145.35IV 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
$135.85NABUMETONE TAB [500 MG] NF
$7.60NS 100mL Charge only
$8.55PROTIME/INR
$63.65XR CHEST SINGLE VIEW
$236.55This 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
$36.00Insurance Discount
$0.00Price Negotiated by Insurer
$36.00Deductible 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)
$65.00B-TYPE NATRIURETIC PEPTIDE RVMC
$341.00cefTRIAXone (ROCEPHIN) 2GM INJ
$26.00.COMPLETE BLOOD COUNT, WITH AUTO DIFF
$107.00COMPREHENSIVE METABOLIC PANEL
$215.00C-REACTIVE PROTEIN
$91.00CT OMNIPAQUE CONTRAST 350 ML
$311.00D-DIMER QUANTITIVE
$174.00EKG - AMBULANCE
$179.00ER ROOM/OP ROOM COMPREHENSIVE 99285
$1,823.00ER ROOM/OP ROOM EXTENDED 99284
$1,221.00HYDRATION IV INFUSION, ADD-ON
$114.00IV INFUSION ADDTL DRUG
$153.00IV 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
$143.00NABUMETONE TAB [500 MG] NF
$8.00NS 100mL Charge only
$9.00PROTIME/INR
$67.00XR CHEST SINGLE VIEW
$249.00This 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
$36.00Insurance Discount
-$3.60Price Negotiated by Insurer
$32.40Deductible 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)
$58.50B-TYPE NATRIURETIC PEPTIDE RVMC
$306.90cefTRIAXone (ROCEPHIN) 2GM INJ
$23.40.COMPLETE BLOOD COUNT, WITH AUTO DIFF
$96.30COMPREHENSIVE METABOLIC PANEL
$193.50C-REACTIVE PROTEIN
$81.90CT OMNIPAQUE CONTRAST 350 ML
$279.90D-DIMER QUANTITIVE
$156.60EKG - AMBULANCE
$161.10ER ROOM/OP ROOM COMPREHENSIVE 99285
$1,640.70ER ROOM/OP ROOM EXTENDED 99284
$1,098.90HYDRATION IV INFUSION, ADD-ON
$102.60IV INFUSION ADDTL DRUG
$137.70IV 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
$128.70NABUMETONE TAB [500 MG] NF
$7.20NS 100mL Charge only
$8.10PROTIME/INR
$60.30XR CHEST SINGLE VIEW
$224.10This 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
$36.00Insurance Discount
-$1.80Price Negotiated by Insurer
$34.20Deductible 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)
$61.75B-TYPE NATRIURETIC PEPTIDE RVMC
$323.95cefTRIAXone (ROCEPHIN) 2GM INJ
$24.70.COMPLETE BLOOD COUNT, WITH AUTO DIFF
$101.65COMPREHENSIVE METABOLIC PANEL
$204.25C-REACTIVE PROTEIN
$86.45CT OMNIPAQUE CONTRAST 350 ML
$295.45D-DIMER QUANTITIVE
$165.30EKG - AMBULANCE
$170.05ER ROOM/OP ROOM COMPREHENSIVE 99285
$1,731.85ER ROOM/OP ROOM EXTENDED 99284
$1,159.95HYDRATION IV INFUSION, ADD-ON
$108.30IV INFUSION ADDTL DRUG
$145.35IV 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
$135.85NABUMETONE TAB [500 MG] NF
$7.60NS 100mL Charge only
$8.55PROTIME/INR
$63.65XR CHEST SINGLE VIEW
$236.55This 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
$36.00Insurance Discount
-$3.60Price Negotiated by Insurer
$32.40Deductible 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)
$58.50B-TYPE NATRIURETIC PEPTIDE RVMC
$306.90cefTRIAXone (ROCEPHIN) 2GM INJ
$23.40.COMPLETE BLOOD COUNT, WITH AUTO DIFF
$96.30COMPREHENSIVE METABOLIC PANEL
$193.50C-REACTIVE PROTEIN
$81.90CT OMNIPAQUE CONTRAST 350 ML
$279.90D-DIMER QUANTITIVE
$156.60EKG - AMBULANCE
$161.10ER ROOM/OP ROOM COMPREHENSIVE 99285
$1,640.70ER ROOM/OP ROOM EXTENDED 99284
$1,098.90HYDRATION IV INFUSION, ADD-ON
$102.60IV INFUSION ADDTL DRUG
$137.70IV 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
$128.70NABUMETONE TAB [500 MG] NF
$7.20NS 100mL Charge only
$8.10PROTIME/INR
$60.30XR CHEST SINGLE VIEW
$224.10This 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
$36.00Insurance Discount
-$2.88Price Negotiated by Insurer
$33.12Deductible 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)
$59.80B-TYPE NATRIURETIC PEPTIDE RVMC
$313.72cefTRIAXone (ROCEPHIN) 2GM INJ
$23.92.COMPLETE BLOOD COUNT, WITH AUTO DIFF
$98.44COMPREHENSIVE METABOLIC PANEL
$197.80C-REACTIVE PROTEIN
$83.72CT OMNIPAQUE CONTRAST 350 ML
$286.12D-DIMER QUANTITIVE
$160.08EKG - AMBULANCE
$164.68ER ROOM/OP ROOM COMPREHENSIVE 99285
$1,677.16ER ROOM/OP ROOM EXTENDED 99284
$1,123.32HYDRATION IV INFUSION, ADD-ON
$104.88IV INFUSION ADDTL DRUG
$140.76IV 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
$131.56NABUMETONE TAB [500 MG] NF
$7.36NS 100mL Charge only
$8.28PROTIME/INR
$61.64XR CHEST SINGLE VIEW
$229.08This 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
$36.00Insurance Discount
-$10.80Price Negotiated by Insurer
$25.20Deductible 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)
$45.50B-TYPE NATRIURETIC PEPTIDE RVMC
$238.70cefTRIAXone (ROCEPHIN) 2GM INJ
$18.20.COMPLETE BLOOD COUNT, WITH AUTO DIFF
$74.90COMPREHENSIVE METABOLIC PANEL
$150.50C-REACTIVE PROTEIN
$63.70CT OMNIPAQUE CONTRAST 350 ML
$217.70D-DIMER QUANTITIVE
$121.80EKG - AMBULANCE
$125.30ER ROOM/OP ROOM COMPREHENSIVE 99285
$1,276.10ER ROOM/OP ROOM EXTENDED 99284
$854.70HYDRATION IV INFUSION, ADD-ON
$79.80IV INFUSION ADDTL DRUG
$107.10IV 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
$100.10NABUMETONE TAB [500 MG] NF
$5.60NS 100mL Charge only
$6.30PROTIME/INR
$46.90XR CHEST SINGLE VIEW
$174.30This 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
$36.00Insurance Discount
-$1.80Price Negotiated by Insurer
$34.20Deductible 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)
$61.75B-TYPE NATRIURETIC PEPTIDE RVMC
$323.95cefTRIAXone (ROCEPHIN) 2GM INJ
$24.70.COMPLETE BLOOD COUNT, WITH AUTO DIFF
$101.65COMPREHENSIVE METABOLIC PANEL
$204.25C-REACTIVE PROTEIN
$86.45CT OMNIPAQUE CONTRAST 350 ML
$295.45D-DIMER QUANTITIVE
$165.30EKG - AMBULANCE
$170.05ER ROOM/OP ROOM COMPREHENSIVE 99285
$1,731.85ER ROOM/OP ROOM EXTENDED 99284
$1,159.95HYDRATION IV INFUSION, ADD-ON
$108.30IV INFUSION ADDTL DRUG
$145.35IV 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
$135.85NABUMETONE TAB [500 MG] NF
$7.60NS 100mL Charge only
$8.55PROTIME/INR
$63.65XR CHEST SINGLE VIEW
$236.55This 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
$36.00Insurance Discount
-$1.08Price Negotiated by Insurer
$34.92Deductible 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)
$63.05B-TYPE NATRIURETIC PEPTIDE RVMC
$330.77cefTRIAXone (ROCEPHIN) 2GM INJ
$25.22.COMPLETE BLOOD COUNT, WITH AUTO DIFF
$103.79COMPREHENSIVE METABOLIC PANEL
$208.55C-REACTIVE PROTEIN
$88.27CT OMNIPAQUE CONTRAST 350 ML
$301.67D-DIMER QUANTITIVE
$168.78EKG - AMBULANCE
$173.63ER ROOM/OP ROOM COMPREHENSIVE 99285
$1,768.31ER ROOM/OP ROOM EXTENDED 99284
$1,184.37HYDRATION IV INFUSION, ADD-ON
$110.58IV INFUSION ADDTL DRUG
$148.41IV 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
$138.71NABUMETONE TAB [500 MG] NF
$7.76NS 100mL Charge only
$8.73PROTIME/INR
$64.99XR CHEST SINGLE VIEW
$241.53This 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
$36.00Insurance Discount
-$1.80Price Negotiated by Insurer
$34.20Deductible 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)
$61.75B-TYPE NATRIURETIC PEPTIDE RVMC
$323.95cefTRIAXone (ROCEPHIN) 2GM INJ
$24.70.COMPLETE BLOOD COUNT, WITH AUTO DIFF
$101.65COMPREHENSIVE METABOLIC PANEL
$204.25C-REACTIVE PROTEIN
$86.45CT OMNIPAQUE CONTRAST 350 ML
$295.45D-DIMER QUANTITIVE
$165.30EKG - AMBULANCE
$170.05ER ROOM/OP ROOM COMPREHENSIVE 99285
$1,731.85ER ROOM/OP ROOM EXTENDED 99284
$1,159.95HYDRATION IV INFUSION, ADD-ON
$108.30IV INFUSION ADDTL DRUG
$145.35IV 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
$135.85NABUMETONE TAB [500 MG] NF
$7.60NS 100mL Charge only
$8.55PROTIME/INR
$63.65XR CHEST SINGLE VIEW
$236.55This 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
$36.00Insurance Discount
-$1.80Price Negotiated by Insurer
$34.20Deductible 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)
$61.75B-TYPE NATRIURETIC PEPTIDE RVMC
$323.95cefTRIAXone (ROCEPHIN) 2GM INJ
$24.70.COMPLETE BLOOD COUNT, WITH AUTO DIFF
$101.65COMPREHENSIVE METABOLIC PANEL
$204.25C-REACTIVE PROTEIN
$86.45CT OMNIPAQUE CONTRAST 350 ML
$295.45D-DIMER QUANTITIVE
$165.30EKG - AMBULANCE
$170.05ER ROOM/OP ROOM COMPREHENSIVE 99285
$1,731.85ER ROOM/OP ROOM EXTENDED 99284
$1,159.95HYDRATION IV INFUSION, ADD-ON
$108.30IV INFUSION ADDTL DRUG
$145.35IV 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
$135.85NABUMETONE TAB [500 MG] NF
$7.60NS 100mL Charge only
$8.55PROTIME/INR
$63.65XR CHEST SINGLE VIEW
$236.55This 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.