CPT 36430
The standard charge for Transfusion, blood or blood components is $668.00. 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
$668.00Insurance Discount
-$33.40Price Negotiated by Insurer
$634.60Deductible Applied
-Copay
-Coinsurance
-Your insurance company will pay
-You will owe (Estimate)
Some services may incur additional charges based on the exact care required. Listed below are commonly associated charges with this service and the rate negotiated by your insurance plan. These charges are listed to give you an idea of what types of other services are often required, but not all patients will require these specific services.
ABO TYPE
$103.55BB BLOOD PACKED CELLS
$664.05.CAPILLARY SAMPLE COLLECTION
$25.65CLINIC - PRO FEE ED CRITICAL CARE 1ST HR
$575.70.COMPLETE BLOOD COUNT, WITH AUTO DIFF
$101.65COMPREHENSIVE METABOLIC PANEL
$204.25COOMBS TEST(DIRECT ANTIGLOBULIN TEST)
$139.65C-REACTIVE PROTEIN
$86.45EKG - AMBULANCE
$170.05ER INTUBATION, ENDOTRACHEAL 31500
$608.95IV - NACL 0.9% [1000 ML]
$20.90IV PUSH;INITIAL
$185.25LAB BLOOD X-MATCH
$158.65LAB BLOOD X-MATCH
$97.85LAB BLOOD X-MATCH
$179.55LAB TROPONIN
$114.00LAB VENIPUNCTURE
$25.65LACTIC ACID
$135.85NMR LIPOPROTEIN WITH GRAPH (123810)
$155.75PRO FEE CRITICAL CARE EA ADD 30 MIN
$258.40PROTIME/INR
$63.65RH TYPE
$80.75SODIUM NITRITE INJ [300 MG/10 ML]
$24.70XR 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
$668.00Insurance Discount
-$66.80Price Negotiated by Insurer
$601.20Deductible 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.
ABO TYPE
$98.10BB BLOOD PACKED CELLS
$629.10.CAPILLARY SAMPLE COLLECTION
$24.30CLINIC - PRO FEE ED CRITICAL CARE 1ST HR
$545.40.COMPLETE BLOOD COUNT, WITH AUTO DIFF
$96.30COMPREHENSIVE METABOLIC PANEL
$193.50COOMBS TEST(DIRECT ANTIGLOBULIN TEST)
$132.30C-REACTIVE PROTEIN
$81.90EKG - AMBULANCE
$161.10ER INTUBATION, ENDOTRACHEAL 31500
$576.90IV - NACL 0.9% [1000 ML]
$19.80IV PUSH;INITIAL
$175.50LAB BLOOD X-MATCH
$170.10LAB BLOOD X-MATCH
$150.30LAB BLOOD X-MATCH
$92.70LAB TROPONIN
$108.00LAB VENIPUNCTURE
$24.30LACTIC ACID
$128.70NMR LIPOPROTEIN WITH GRAPH (123810)
$147.56PRO FEE CRITICAL CARE EA ADD 30 MIN
$244.80PROTIME/INR
$60.30RH TYPE
$76.50SODIUM NITRITE INJ [300 MG/10 ML]
$23.40XR 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
$668.00Insurance Discount
-$66.80Price Negotiated by Insurer
$601.20Deductible 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.
ABO TYPE
$98.10BB BLOOD PACKED CELLS
$629.10.CAPILLARY SAMPLE COLLECTION
$24.30CLINIC - PRO FEE ED CRITICAL CARE 1ST HR
$545.40.COMPLETE BLOOD COUNT, WITH AUTO DIFF
$96.30COMPREHENSIVE METABOLIC PANEL
$193.50COOMBS TEST(DIRECT ANTIGLOBULIN TEST)
$132.30C-REACTIVE PROTEIN
$81.90EKG - AMBULANCE
$161.10ER INTUBATION, ENDOTRACHEAL 31500
$576.90IV - NACL 0.9% [1000 ML]
$19.80IV PUSH;INITIAL
$175.50LAB BLOOD X-MATCH
$170.10LAB BLOOD X-MATCH
$150.30LAB BLOOD X-MATCH
$92.70LAB TROPONIN
$108.00LAB VENIPUNCTURE
$24.30LACTIC ACID
$128.70NMR LIPOPROTEIN WITH GRAPH (123810)
$147.56PRO FEE CRITICAL CARE EA ADD 30 MIN
$244.80PROTIME/INR
$60.30RH TYPE
$76.50SODIUM NITRITE INJ [300 MG/10 ML]
$23.40XR 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
$668.00Insurance Discount
-$33.40Price Negotiated by Insurer
$634.60Deductible Applied
-Copay
-Coinsurance
-Your insurance company will pay
-You will owe (Estimate)
Some services may incur additional charges based on the exact care required. Listed below are commonly associated charges with this service and the rate negotiated by your insurance plan. These charges are listed to give you an idea of what types of other services are often required, but not all patients will require these specific services.
ABO TYPE
$103.55BB BLOOD PACKED CELLS
$664.05.CAPILLARY SAMPLE COLLECTION
$25.65CLINIC - PRO FEE ED CRITICAL CARE 1ST HR
$575.70.COMPLETE BLOOD COUNT, WITH AUTO DIFF
$101.65COMPREHENSIVE METABOLIC PANEL
$204.25COOMBS TEST(DIRECT ANTIGLOBULIN TEST)
$139.65C-REACTIVE PROTEIN
$86.45EKG - AMBULANCE
$170.05ER INTUBATION, ENDOTRACHEAL 31500
$608.95IV - NACL 0.9% [1000 ML]
$20.90IV PUSH;INITIAL
$185.25LAB BLOOD X-MATCH
$179.55LAB BLOOD X-MATCH
$158.65LAB BLOOD X-MATCH
$97.85LAB TROPONIN
$114.00LAB VENIPUNCTURE
$25.65LACTIC ACID
$135.85NMR LIPOPROTEIN WITH GRAPH (123810)
$155.75PRO FEE CRITICAL CARE EA ADD 30 MIN
$258.40PROTIME/INR
$63.65RH TYPE
$80.75SODIUM NITRITE INJ [300 MG/10 ML]
$24.70XR 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
$668.00Insurance Discount
-$66.80Price Negotiated by Insurer
$601.20Deductible 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.
ABO TYPE
$98.10BB BLOOD PACKED CELLS
$629.10.CAPILLARY SAMPLE COLLECTION
$24.30CLINIC - PRO FEE ED CRITICAL CARE 1ST HR
$545.40.COMPLETE BLOOD COUNT, WITH AUTO DIFF
$96.30COMPREHENSIVE METABOLIC PANEL
$193.50COOMBS TEST(DIRECT ANTIGLOBULIN TEST)
$132.30C-REACTIVE PROTEIN
$81.90EKG - AMBULANCE
$161.10ER INTUBATION, ENDOTRACHEAL 31500
$576.90IV - NACL 0.9% [1000 ML]
$19.80IV PUSH;INITIAL
$175.50LAB BLOOD X-MATCH
$170.10LAB BLOOD X-MATCH
$92.70LAB BLOOD X-MATCH
$150.30LAB TROPONIN
$108.00LAB VENIPUNCTURE
$24.30LACTIC ACID
$128.70NMR LIPOPROTEIN WITH GRAPH (123810)
$147.56PRO FEE CRITICAL CARE EA ADD 30 MIN
$244.80PROTIME/INR
$60.30RH TYPE
$76.50SODIUM NITRITE INJ [300 MG/10 ML]
$23.40XR 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
$668.00Insurance Discount
-$66.80Price Negotiated by Insurer
$601.20Deductible 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.
ABO TYPE
$98.10BB BLOOD PACKED CELLS
$629.10.CAPILLARY SAMPLE COLLECTION
$24.30CLINIC - PRO FEE ED CRITICAL CARE 1ST HR
$545.40.COMPLETE BLOOD COUNT, WITH AUTO DIFF
$96.30COMPREHENSIVE METABOLIC PANEL
$193.50COOMBS TEST(DIRECT ANTIGLOBULIN TEST)
$132.30C-REACTIVE PROTEIN
$81.90EKG - AMBULANCE
$161.10ER INTUBATION, ENDOTRACHEAL 31500
$576.90IV - NACL 0.9% [1000 ML]
$19.80IV PUSH;INITIAL
$175.50LAB BLOOD X-MATCH
$92.70LAB BLOOD X-MATCH
$150.30LAB BLOOD X-MATCH
$170.10LAB TROPONIN
$108.00LAB VENIPUNCTURE
$24.30LACTIC ACID
$128.70NMR LIPOPROTEIN WITH GRAPH (123810)
$147.56PRO FEE CRITICAL CARE EA ADD 30 MIN
$244.80PROTIME/INR
$60.30RH TYPE
$76.50SODIUM NITRITE INJ [300 MG/10 ML]
$23.40XR 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
$668.00Insurance Discount
-$33.40Price Negotiated by Insurer
$634.60Deductible Applied
-Copay
-Coinsurance
-Your insurance company will pay
-You will owe (Estimate)
Some services may incur additional charges based on the exact care required. Listed below are commonly associated charges with this service and the rate negotiated by your insurance plan. These charges are listed to give you an idea of what types of other services are often required, but not all patients will require these specific services.
ABO TYPE
$103.55BB BLOOD PACKED CELLS
$664.05.CAPILLARY SAMPLE COLLECTION
$25.65CLINIC - PRO FEE ED CRITICAL CARE 1ST HR
$575.70.COMPLETE BLOOD COUNT, WITH AUTO DIFF
$101.65COMPREHENSIVE METABOLIC PANEL
$204.25COOMBS TEST(DIRECT ANTIGLOBULIN TEST)
$139.65C-REACTIVE PROTEIN
$86.45EKG - AMBULANCE
$170.05ER INTUBATION, ENDOTRACHEAL 31500
$608.95IV - NACL 0.9% [1000 ML]
$20.90IV PUSH;INITIAL
$185.25LAB BLOOD X-MATCH
$97.85LAB BLOOD X-MATCH
$158.65LAB BLOOD X-MATCH
$179.55LAB TROPONIN
$114.00LAB VENIPUNCTURE
$25.65LACTIC ACID
$135.85NMR LIPOPROTEIN WITH GRAPH (123810)
$155.75PRO FEE CRITICAL CARE EA ADD 30 MIN
$258.40PROTIME/INR
$63.65RH TYPE
$80.75SODIUM NITRITE INJ [300 MG/10 ML]
$24.70XR 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
$668.00Insurance Discount
$0.00Price Negotiated by Insurer
$668.00Deductible 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.
ABO TYPE
$109.00BB BLOOD PACKED CELLS
$699.00.CAPILLARY SAMPLE COLLECTION
$27.00CLINIC - PRO FEE ED CRITICAL CARE 1ST HR
$606.00.COMPLETE BLOOD COUNT, WITH AUTO DIFF
$107.00COMPREHENSIVE METABOLIC PANEL
$215.00COOMBS TEST(DIRECT ANTIGLOBULIN TEST)
$147.00C-REACTIVE PROTEIN
$91.00EKG - AMBULANCE
$179.00ER INTUBATION, ENDOTRACHEAL 31500
$641.00IV - NACL 0.9% [1000 ML]
$22.00IV PUSH;INITIAL
$195.00LAB BLOOD X-MATCH
$103.00LAB BLOOD X-MATCH
$167.00LAB BLOOD X-MATCH
$189.00LAB TROPONIN
$120.00LAB VENIPUNCTURE
$27.00LACTIC ACID
$143.00NMR LIPOPROTEIN WITH GRAPH (123810)
$163.95PRO FEE CRITICAL CARE EA ADD 30 MIN
$272.00PROTIME/INR
$67.00RH TYPE
$85.00SODIUM NITRITE INJ [300 MG/10 ML]
$26.00XR 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
$668.00Insurance Discount
-$66.80Price Negotiated by Insurer
$601.20Deductible 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.
ABO TYPE
$98.10BB BLOOD PACKED CELLS
$629.10.CAPILLARY SAMPLE COLLECTION
$24.30CLINIC - PRO FEE ED CRITICAL CARE 1ST HR
$545.40.COMPLETE BLOOD COUNT, WITH AUTO DIFF
$96.30COMPREHENSIVE METABOLIC PANEL
$193.50COOMBS TEST(DIRECT ANTIGLOBULIN TEST)
$132.30C-REACTIVE PROTEIN
$81.90EKG - AMBULANCE
$161.10ER INTUBATION, ENDOTRACHEAL 31500
$576.90IV - NACL 0.9% [1000 ML]
$19.80IV PUSH;INITIAL
$175.50LAB BLOOD X-MATCH
$92.70LAB BLOOD X-MATCH
$150.30LAB BLOOD X-MATCH
$170.10LAB TROPONIN
$108.00LAB VENIPUNCTURE
$24.30LACTIC ACID
$128.70NMR LIPOPROTEIN WITH GRAPH (123810)
$147.56PRO FEE CRITICAL CARE EA ADD 30 MIN
$244.80PROTIME/INR
$60.30RH TYPE
$76.50SODIUM NITRITE INJ [300 MG/10 ML]
$23.40XR 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
$668.00Insurance Discount
-$33.40Price Negotiated by Insurer
$634.60Deductible Applied
-Copay
-Coinsurance
-Your insurance company will pay
-You will owe (Estimate)
Some services may incur additional charges based on the exact care required. Listed below are commonly associated charges with this service and the rate negotiated by your insurance plan. These charges are listed to give you an idea of what types of other services are often required, but not all patients will require these specific services.
ABO TYPE
$103.55BB BLOOD PACKED CELLS
$664.05.CAPILLARY SAMPLE COLLECTION
$25.65CLINIC - PRO FEE ED CRITICAL CARE 1ST HR
$575.70.COMPLETE BLOOD COUNT, WITH AUTO DIFF
$101.65COMPREHENSIVE METABOLIC PANEL
$204.25COOMBS TEST(DIRECT ANTIGLOBULIN TEST)
$139.65C-REACTIVE PROTEIN
$86.45EKG - AMBULANCE
$170.05ER INTUBATION, ENDOTRACHEAL 31500
$608.95IV - NACL 0.9% [1000 ML]
$20.90IV PUSH;INITIAL
$185.25LAB BLOOD X-MATCH
$97.85LAB BLOOD X-MATCH
$158.65LAB BLOOD X-MATCH
$179.55LAB TROPONIN
$114.00LAB VENIPUNCTURE
$25.65LACTIC ACID
$135.85NMR LIPOPROTEIN WITH GRAPH (123810)
$155.75PRO FEE CRITICAL CARE EA ADD 30 MIN
$258.40PROTIME/INR
$63.65RH TYPE
$80.75SODIUM NITRITE INJ [300 MG/10 ML]
$24.70XR 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
$668.00Insurance Discount
-$66.80Price Negotiated by Insurer
$601.20Deductible 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.
ABO TYPE
$98.10BB BLOOD PACKED CELLS
$629.10.CAPILLARY SAMPLE COLLECTION
$24.30CLINIC - PRO FEE ED CRITICAL CARE 1ST HR
$545.40.COMPLETE BLOOD COUNT, WITH AUTO DIFF
$96.30COMPREHENSIVE METABOLIC PANEL
$193.50COOMBS TEST(DIRECT ANTIGLOBULIN TEST)
$132.30C-REACTIVE PROTEIN
$81.90EKG - AMBULANCE
$161.10ER INTUBATION, ENDOTRACHEAL 31500
$576.90IV - NACL 0.9% [1000 ML]
$19.80IV PUSH;INITIAL
$175.50LAB BLOOD X-MATCH
$92.70LAB BLOOD X-MATCH
$150.30LAB BLOOD X-MATCH
$170.10LAB TROPONIN
$108.00LAB VENIPUNCTURE
$24.30LACTIC ACID
$128.70NMR LIPOPROTEIN WITH GRAPH (123810)
$147.56PRO FEE CRITICAL CARE EA ADD 30 MIN
$244.80PROTIME/INR
$60.30RH TYPE
$76.50SODIUM NITRITE INJ [300 MG/10 ML]
$23.40XR 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
$668.00Insurance Discount
-$53.44Price Negotiated by Insurer
$614.56Deductible 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.
ABO TYPE
$100.28BB BLOOD PACKED CELLS
$643.08.CAPILLARY SAMPLE COLLECTION
$24.84CLINIC - PRO FEE ED CRITICAL CARE 1ST HR
$557.52.COMPLETE BLOOD COUNT, WITH AUTO DIFF
$98.44COMPREHENSIVE METABOLIC PANEL
$197.80COOMBS TEST(DIRECT ANTIGLOBULIN TEST)
$135.24C-REACTIVE PROTEIN
$83.72EKG - AMBULANCE
$164.68ER INTUBATION, ENDOTRACHEAL 31500
$589.72IV - NACL 0.9% [1000 ML]
$20.24IV PUSH;INITIAL
$179.40LAB BLOOD X-MATCH
$94.76LAB BLOOD X-MATCH
$153.64LAB BLOOD X-MATCH
$173.88LAB TROPONIN
$110.40LAB VENIPUNCTURE
$24.84LACTIC ACID
$131.56NMR LIPOPROTEIN WITH GRAPH (123810)
$150.83PRO FEE CRITICAL CARE EA ADD 30 MIN
$250.24PROTIME/INR
$61.64RH TYPE
$78.20SODIUM NITRITE INJ [300 MG/10 ML]
$23.92XR 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
$668.00Insurance Discount
-$200.40Price Negotiated by Insurer
$467.60Deductible Applied
-Copay
-Coinsurance
-Your insurance company will pay
-You will owe (Estimate)
Some services may incur additional charges based on the exact care required. Listed below are commonly associated charges with this service and the rate negotiated by your insurance plan. These charges are listed to give you an idea of what types of other services are often required, but not all patients will require these specific services.
ABO TYPE
$76.30BB BLOOD PACKED CELLS
$489.30.CAPILLARY SAMPLE COLLECTION
$18.90CLINIC - PRO FEE ED CRITICAL CARE 1ST HR
$424.20.COMPLETE BLOOD COUNT, WITH AUTO DIFF
$74.90COMPREHENSIVE METABOLIC PANEL
$150.50COOMBS TEST(DIRECT ANTIGLOBULIN TEST)
$102.90C-REACTIVE PROTEIN
$63.70EKG - AMBULANCE
$125.30ER INTUBATION, ENDOTRACHEAL 31500
$448.70IV - NACL 0.9% [1000 ML]
$15.40IV PUSH;INITIAL
$136.50LAB BLOOD X-MATCH
$72.10LAB BLOOD X-MATCH
$116.90LAB BLOOD X-MATCH
$132.30LAB TROPONIN
$84.00LAB VENIPUNCTURE
$18.90LACTIC ACID
$100.10NMR LIPOPROTEIN WITH GRAPH (123810)
$114.77PRO FEE CRITICAL CARE EA ADD 30 MIN
$190.40PROTIME/INR
$46.90RH TYPE
$59.50SODIUM NITRITE INJ [300 MG/10 ML]
$18.20XR 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
$668.00Insurance Discount
-$33.40Price Negotiated by Insurer
$634.60Deductible Applied
-Copay
-Coinsurance
-Your insurance company will pay
-You will owe (Estimate)
Some services may incur additional charges based on the exact care required. Listed below are commonly associated charges with this service and the rate negotiated by your insurance plan. These charges are listed to give you an idea of what types of other services are often required, but not all patients will require these specific services.
ABO TYPE
$103.55BB BLOOD PACKED CELLS
$664.05.CAPILLARY SAMPLE COLLECTION
$25.65CLINIC - PRO FEE ED CRITICAL CARE 1ST HR
$575.70.COMPLETE BLOOD COUNT, WITH AUTO DIFF
$101.65COMPREHENSIVE METABOLIC PANEL
$204.25COOMBS TEST(DIRECT ANTIGLOBULIN TEST)
$139.65C-REACTIVE PROTEIN
$86.45EKG - AMBULANCE
$170.05ER INTUBATION, ENDOTRACHEAL 31500
$608.95IV - NACL 0.9% [1000 ML]
$20.90IV PUSH;INITIAL
$185.25LAB BLOOD X-MATCH
$97.85LAB BLOOD X-MATCH
$158.65LAB BLOOD X-MATCH
$179.55LAB TROPONIN
$114.00LAB VENIPUNCTURE
$25.65LACTIC ACID
$135.85NMR LIPOPROTEIN WITH GRAPH (123810)
$155.75PRO FEE CRITICAL CARE EA ADD 30 MIN
$258.40PROTIME/INR
$63.65RH TYPE
$80.75SODIUM NITRITE INJ [300 MG/10 ML]
$24.70XR 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
$668.00Insurance Discount
-$20.04Price Negotiated by Insurer
$647.96Deductible 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.
ABO TYPE
$105.73BB BLOOD PACKED CELLS
$678.03.CAPILLARY SAMPLE COLLECTION
$26.19CLINIC - PRO FEE ED CRITICAL CARE 1ST HR
$587.82.COMPLETE BLOOD COUNT, WITH AUTO DIFF
$103.79COMPREHENSIVE METABOLIC PANEL
$208.55COOMBS TEST(DIRECT ANTIGLOBULIN TEST)
$142.59C-REACTIVE PROTEIN
$88.27EKG - AMBULANCE
$173.63ER INTUBATION, ENDOTRACHEAL 31500
$621.77IV - NACL 0.9% [1000 ML]
$21.34IV PUSH;INITIAL
$189.15LAB BLOOD X-MATCH
$99.91LAB BLOOD X-MATCH
$161.99LAB BLOOD X-MATCH
$183.33LAB TROPONIN
$116.40LAB VENIPUNCTURE
$26.19LACTIC ACID
$138.71NMR LIPOPROTEIN WITH GRAPH (123810)
$159.03PRO FEE CRITICAL CARE EA ADD 30 MIN
$263.84PROTIME/INR
$64.99RH TYPE
$82.45SODIUM NITRITE INJ [300 MG/10 ML]
$25.22XR 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
$668.00Insurance Discount
-$33.40Price Negotiated by Insurer
$634.60Deductible Applied
-Copay
-Coinsurance
-Your insurance company will pay
-You will owe (Estimate)
Some services may incur additional charges based on the exact care required. Listed below are commonly associated charges with this service and the rate negotiated by your insurance plan. These charges are listed to give you an idea of what types of other services are often required, but not all patients will require these specific services.
ABO TYPE
$103.55BB BLOOD PACKED CELLS
$664.05.CAPILLARY SAMPLE COLLECTION
$25.65CLINIC - PRO FEE ED CRITICAL CARE 1ST HR
$575.70.COMPLETE BLOOD COUNT, WITH AUTO DIFF
$101.65COMPREHENSIVE METABOLIC PANEL
$204.25COOMBS TEST(DIRECT ANTIGLOBULIN TEST)
$139.65C-REACTIVE PROTEIN
$86.45EKG - AMBULANCE
$170.05ER INTUBATION, ENDOTRACHEAL 31500
$608.95IV - NACL 0.9% [1000 ML]
$20.90IV PUSH;INITIAL
$185.25LAB BLOOD X-MATCH
$97.85LAB BLOOD X-MATCH
$158.65LAB BLOOD X-MATCH
$179.55LAB TROPONIN
$114.00LAB VENIPUNCTURE
$25.65LACTIC ACID
$135.85NMR LIPOPROTEIN WITH GRAPH (123810)
$155.75PRO FEE CRITICAL CARE EA ADD 30 MIN
$258.40PROTIME/INR
$63.65RH TYPE
$80.75SODIUM NITRITE INJ [300 MG/10 ML]
$24.70XR 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
$668.00Insurance Discount
-$33.40Price Negotiated by Insurer
$634.60Deductible Applied
-Copay
-Coinsurance
-Your insurance company will pay
-You will owe (Estimate)
Some services may incur additional charges based on the exact care required. Listed below are commonly associated charges with this service and the rate negotiated by your insurance plan. These charges are listed to give you an idea of what types of other services are often required, but not all patients will require these specific services.
ABO TYPE
$103.55BB BLOOD PACKED CELLS
$664.05.CAPILLARY SAMPLE COLLECTION
$25.65CLINIC - PRO FEE ED CRITICAL CARE 1ST HR
$575.70.COMPLETE BLOOD COUNT, WITH AUTO DIFF
$101.65COMPREHENSIVE METABOLIC PANEL
$204.25COOMBS TEST(DIRECT ANTIGLOBULIN TEST)
$139.65C-REACTIVE PROTEIN
$86.45EKG - AMBULANCE
$170.05ER INTUBATION, ENDOTRACHEAL 31500
$608.95IV - NACL 0.9% [1000 ML]
$20.90IV PUSH;INITIAL
$185.25LAB BLOOD X-MATCH
$97.85LAB BLOOD X-MATCH
$158.65LAB BLOOD X-MATCH
$179.55LAB TROPONIN
$114.00LAB VENIPUNCTURE
$25.65LACTIC ACID
$135.85NMR LIPOPROTEIN WITH GRAPH (123810)
$155.75PRO FEE CRITICAL CARE EA ADD 30 MIN
$258.40PROTIME/INR
$63.65RH TYPE
$80.75SODIUM NITRITE INJ [300 MG/10 ML]
$24.70XR 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.