CPT 96375
The standard charge for Intravenous infusion, for treatment, prophylaxis, or diagnosis-new drug add on is $98.00. 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
4422 Third Avenue, Bronx, NY, 10457CONTACT
718-960-3815 Visit WebsiteSt. Barnabas Hospital 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, St. Barnabas Hospital 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-St. Barnabas Hospital 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 718-960-3815.
Choose a plan to view the insurance rate estimate.
Total estimated charges
$98.00Insurance Discount
-$44.10Price Negotiated by Insurer
$53.90Deductible 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.
HC COMPLETE CBC W/ AUTO DIFF WBC
$10.45HC EMERGENCY DEPARTMENT LEVEL 4 VISIT HIGH/URGENT SEVERITY
$694.00HC EMERGENCY DEPARTMENT LEVEL 5 VISIT HIGH SEVERITY&THREAT FUNC
$694.00HC INJECTION,THERAP/PROPH/DIAGNOST, IV PUSH, INITIAL DRUG
$305.80HC METABOLIC PANEL,COMPREHENSIVE - BUNDLED CHARGE
$14.30This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to St. Barnabas Hospital so that your price and insurance eligibility can be confirmed.
To verify this rate and discuss any other associated charges to expect, please contact St. Barnabas Hospital directly.
Total estimated charges
$98.00Insurance Discount
-$41.63Price Negotiated by Insurer
$56.37Deductible 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.
HC COMPLETE CBC W/ AUTO DIFF WBC
$7.77HC EMERGENCY DEPARTMENT LEVEL 4 VISIT HIGH/URGENT SEVERITY
$520.28HC EMERGENCY DEPARTMENT LEVEL 5 VISIT HIGH SEVERITY&THREAT FUNC
$749.10HC INJECTION,THERAP/PROPH/DIAGNOST, IV PUSH, INITIAL DRUG
$257.43HC METABOLIC PANEL,COMPREHENSIVE - BUNDLED CHARGE
$10.56This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to St. Barnabas Hospital so that your price and insurance eligibility can be confirmed.
To verify this rate and discuss any other associated charges to expect, please contact St. Barnabas Hospital directly.
Total estimated charges
$98.00Insurance Discount
-$41.63Price Negotiated by Insurer
$56.37Deductible 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.
HC COMPLETE CBC W/ AUTO DIFF WBC
$7.77HC EMERGENCY DEPARTMENT LEVEL 4 VISIT HIGH/URGENT SEVERITY
$520.28HC EMERGENCY DEPARTMENT LEVEL 5 VISIT HIGH SEVERITY&THREAT FUNC
$749.10HC INJECTION,THERAP/PROPH/DIAGNOST, IV PUSH, INITIAL DRUG
$257.43HC METABOLIC PANEL,COMPREHENSIVE - BUNDLED CHARGE
$10.56This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to St. Barnabas Hospital so that your price and insurance eligibility can be confirmed.
To verify this rate and discuss any other associated charges to expect, please contact St. Barnabas Hospital directly.
Total estimated charges
$98.00Insurance Discount
-$58.54Price Negotiated by Insurer
$39.46Deductible 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.
HC COMPLETE CBC W/ AUTO DIFF WBC
$5.44HC EMERGENCY DEPARTMENT LEVEL 4 VISIT HIGH/URGENT SEVERITY
$364.20HC EMERGENCY DEPARTMENT LEVEL 5 VISIT HIGH SEVERITY&THREAT FUNC
$524.37HC INJECTION,THERAP/PROPH/DIAGNOST, IV PUSH, INITIAL DRUG
$180.20HC METABOLIC PANEL,COMPREHENSIVE - BUNDLED CHARGE
$7.39This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to St. Barnabas Hospital so that your price and insurance eligibility can be confirmed.
To verify this rate and discuss any other associated charges to expect, please contact St. Barnabas Hospital directly.
Total estimated charges
$98.00Insurance Discount
-$58.54Price Negotiated by Insurer
$39.46Deductible 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.
HC COMPLETE CBC W/ AUTO DIFF WBC
$5.44HC EMERGENCY DEPARTMENT LEVEL 4 VISIT HIGH/URGENT SEVERITY
$364.20HC EMERGENCY DEPARTMENT LEVEL 5 VISIT HIGH SEVERITY&THREAT FUNC
$524.37HC INJECTION,THERAP/PROPH/DIAGNOST, IV PUSH, INITIAL DRUG
$180.20HC METABOLIC PANEL,COMPREHENSIVE - BUNDLED CHARGE
$7.39This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to St. Barnabas Hospital so that your price and insurance eligibility can be confirmed.
To verify this rate and discuss any other associated charges to expect, please contact St. Barnabas Hospital directly.
Total estimated charges
$98.00Insurance Discount
-$58.54Price Negotiated by Insurer
$39.46Deductible 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.
HC COMPLETE CBC W/ AUTO DIFF WBC
$5.44HC EMERGENCY DEPARTMENT LEVEL 4 VISIT HIGH/URGENT SEVERITY
$364.20HC EMERGENCY DEPARTMENT LEVEL 5 VISIT HIGH SEVERITY&THREAT FUNC
$524.37HC INJECTION,THERAP/PROPH/DIAGNOST, IV PUSH, INITIAL DRUG
$180.20HC METABOLIC PANEL,COMPREHENSIVE - BUNDLED CHARGE
$7.39This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to St. Barnabas Hospital so that your price and insurance eligibility can be confirmed.
To verify this rate and discuss any other associated charges to expect, please contact St. Barnabas Hospital directly.
Total estimated charges
$98.00Insurance Discount
-$24.50Price Negotiated by Insurer
$73.50Deductible 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.
HC COMPLETE CBC W/ AUTO DIFF WBC
$14.25HC EMERGENCY DEPARTMENT LEVEL 4 VISIT HIGH/URGENT SEVERITY
$874.00HC EMERGENCY DEPARTMENT LEVEL 5 VISIT HIGH SEVERITY&THREAT FUNC
$874.00HC INJECTION,THERAP/PROPH/DIAGNOST, IV PUSH, INITIAL DRUG
$417.00HC METABOLIC PANEL,COMPREHENSIVE - BUNDLED CHARGE
$19.50This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to St. Barnabas Hospital so that your price and insurance eligibility can be confirmed.
To verify this rate and discuss any other associated charges to expect, please contact St. Barnabas Hospital directly.
Total estimated charges
$98.00Insurance Discount
-$41.63Price Negotiated by Insurer
$56.37Deductible 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.
HC COMPLETE CBC W/ AUTO DIFF WBC
$7.77HC EMERGENCY DEPARTMENT LEVEL 4 VISIT HIGH/URGENT SEVERITY
$520.28HC EMERGENCY DEPARTMENT LEVEL 5 VISIT HIGH SEVERITY&THREAT FUNC
$749.10HC INJECTION,THERAP/PROPH/DIAGNOST, IV PUSH, INITIAL DRUG
$257.43HC METABOLIC PANEL,COMPREHENSIVE - BUNDLED CHARGE
$10.56This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to St. Barnabas Hospital so that your price and insurance eligibility can be confirmed.
To verify this rate and discuss any other associated charges to expect, please contact St. Barnabas Hospital directly.
Total estimated charges
$98.00Insurance Discount
-$19.60Price Negotiated by Insurer
$78.40Deductible 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.
HC COMPLETE CBC W/ AUTO DIFF WBC
$13.21HC EMERGENCY DEPARTMENT LEVEL 4 VISIT HIGH/URGENT SEVERITY
$792.81HC EMERGENCY DEPARTMENT LEVEL 5 VISIT HIGH SEVERITY&THREAT FUNC
$792.81HC INJECTION,THERAP/PROPH/DIAGNOST, IV PUSH, INITIAL DRUG
$444.80HC METABOLIC PANEL,COMPREHENSIVE - BUNDLED CHARGE
$17.96This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to St. Barnabas Hospital so that your price and insurance eligibility can be confirmed.
To verify this rate and discuss any other associated charges to expect, please contact St. Barnabas Hospital directly.
Total estimated charges
$98.00Insurance Discount
-$31.36Price Negotiated by Insurer
$66.64Deductible 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.
HC COMPLETE CBC W/ AUTO DIFF WBC
$11.12HC EMERGENCY DEPARTMENT LEVEL 4 VISIT HIGH/URGENT SEVERITY
$673.89HC EMERGENCY DEPARTMENT LEVEL 5 VISIT HIGH SEVERITY&THREAT FUNC
$673.89HC INJECTION,THERAP/PROPH/DIAGNOST, IV PUSH, INITIAL DRUG
$378.08HC METABOLIC PANEL,COMPREHENSIVE - BUNDLED CHARGE
$15.12This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to St. Barnabas Hospital so that your price and insurance eligibility can be confirmed.
To verify this rate and discuss any other associated charges to expect, please contact St. Barnabas Hospital directly.
Total estimated charges
$98.00Insurance Discount
-$41.63Price Negotiated by Insurer
$56.37Deductible 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.
HC COMPLETE CBC W/ AUTO DIFF WBC
$7.77HC EMERGENCY DEPARTMENT LEVEL 4 VISIT HIGH/URGENT SEVERITY
$520.28HC EMERGENCY DEPARTMENT LEVEL 5 VISIT HIGH SEVERITY&THREAT FUNC
$749.10HC INJECTION,THERAP/PROPH/DIAGNOST, IV PUSH, INITIAL DRUG
$257.43HC METABOLIC PANEL,COMPREHENSIVE - BUNDLED CHARGE
$10.56This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to St. Barnabas Hospital so that your price and insurance eligibility can be confirmed.
To verify this rate and discuss any other associated charges to expect, please contact St. Barnabas Hospital directly.
Total estimated charges
$98.00Insurance Discount
-$41.63Price Negotiated by Insurer
$56.37Deductible 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.
HC COMPLETE CBC W/ AUTO DIFF WBC
$7.77HC EMERGENCY DEPARTMENT LEVEL 4 VISIT HIGH/URGENT SEVERITY
$525.00HC EMERGENCY DEPARTMENT LEVEL 5 VISIT HIGH SEVERITY&THREAT FUNC
$525.00HC INJECTION,THERAP/PROPH/DIAGNOST, IV PUSH, INITIAL DRUG
$257.43HC METABOLIC PANEL,COMPREHENSIVE - BUNDLED CHARGE
$10.56This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to St. Barnabas Hospital so that your price and insurance eligibility can be confirmed.
To verify this rate and discuss any other associated charges to expect, please contact St. Barnabas Hospital directly.
Total estimated charges
$98.00Insurance Discount
-$47.27Price Negotiated by Insurer
$50.73Deductible 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.
HC COMPLETE CBC W/ AUTO DIFF WBC
$6.99HC EMERGENCY DEPARTMENT LEVEL 4 VISIT HIGH/URGENT SEVERITY
$468.25HC EMERGENCY DEPARTMENT LEVEL 5 VISIT HIGH SEVERITY&THREAT FUNC
$674.19HC INJECTION,THERAP/PROPH/DIAGNOST, IV PUSH, INITIAL DRUG
$231.69HC METABOLIC PANEL,COMPREHENSIVE - BUNDLED CHARGE
$9.50This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to St. Barnabas Hospital so that your price and insurance eligibility can be confirmed.
To verify this rate and discuss any other associated charges to expect, please contact St. Barnabas Hospital directly.
Total estimated charges
$98.00Insurance Discount
-$50.09Price Negotiated by Insurer
$47.91Deductible 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.
HC COMPLETE CBC W/ AUTO DIFF WBC
$6.60HC EMERGENCY DEPARTMENT LEVEL 4 VISIT HIGH/URGENT SEVERITY
$442.24HC EMERGENCY DEPARTMENT LEVEL 5 VISIT HIGH SEVERITY&THREAT FUNC
$636.74HC INJECTION,THERAP/PROPH/DIAGNOST, IV PUSH, INITIAL DRUG
$218.82HC METABOLIC PANEL,COMPREHENSIVE - BUNDLED CHARGE
$8.98This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to St. Barnabas Hospital so that your price and insurance eligibility can be confirmed.
To verify this rate and discuss any other associated charges to expect, please contact St. Barnabas Hospital directly.
Total estimated charges
$98.00Insurance Discount
-$47.83Price Negotiated by Insurer
$50.17Deductible 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.
HC COMPLETE CBC W/ AUTO DIFF WBC
$6.92HC EMERGENCY DEPARTMENT LEVEL 4 VISIT HIGH/URGENT SEVERITY
$463.05HC EMERGENCY DEPARTMENT LEVEL 5 VISIT HIGH SEVERITY&THREAT FUNC
$666.70HC INJECTION,THERAP/PROPH/DIAGNOST, IV PUSH, INITIAL DRUG
$229.11HC METABOLIC PANEL,COMPREHENSIVE - BUNDLED CHARGE
$9.40This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to St. Barnabas Hospital so that your price and insurance eligibility can be confirmed.
To verify this rate and discuss any other associated charges to expect, please contact St. Barnabas Hospital directly.
Total estimated charges
$98.00Insurance Discount
-$41.63Price Negotiated by Insurer
$56.37Deductible 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.
HC COMPLETE CBC W/ AUTO DIFF WBC
$7.77HC EMERGENCY DEPARTMENT LEVEL 4 VISIT HIGH/URGENT SEVERITY
$520.28HC EMERGENCY DEPARTMENT LEVEL 5 VISIT HIGH SEVERITY&THREAT FUNC
$749.10HC INJECTION,THERAP/PROPH/DIAGNOST, IV PUSH, INITIAL DRUG
$257.43HC METABOLIC PANEL,COMPREHENSIVE - BUNDLED CHARGE
$10.56This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to St. Barnabas Hospital so that your price and insurance eligibility can be confirmed.
To verify this rate and discuss any other associated charges to expect, please contact St. Barnabas Hospital directly.
Total estimated charges
$98.00Insurance Discount
-$47.83Price Negotiated by Insurer
$50.17Deductible 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.
HC COMPLETE CBC W/ AUTO DIFF WBC
$6.92HC EMERGENCY DEPARTMENT LEVEL 4 VISIT HIGH/URGENT SEVERITY
$463.05HC EMERGENCY DEPARTMENT LEVEL 5 VISIT HIGH SEVERITY&THREAT FUNC
$666.70HC INJECTION,THERAP/PROPH/DIAGNOST, IV PUSH, INITIAL DRUG
$229.11HC METABOLIC PANEL,COMPREHENSIVE - BUNDLED CHARGE
$9.40This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to St. Barnabas Hospital so that your price and insurance eligibility can be confirmed.
To verify this rate and discuss any other associated charges to expect, please contact St. Barnabas Hospital directly.
Total estimated charges
$98.00Insurance Discount
-$41.63Price Negotiated by Insurer
$56.37Deductible 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.
HC COMPLETE CBC W/ AUTO DIFF WBC
$7.77HC EMERGENCY DEPARTMENT LEVEL 4 VISIT HIGH/URGENT SEVERITY
$525.00HC EMERGENCY DEPARTMENT LEVEL 5 VISIT HIGH SEVERITY&THREAT FUNC
$525.00HC INJECTION,THERAP/PROPH/DIAGNOST, IV PUSH, INITIAL DRUG
$257.43HC METABOLIC PANEL,COMPREHENSIVE - BUNDLED CHARGE
$10.56This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to St. Barnabas Hospital so that your price and insurance eligibility can be confirmed.
To verify this rate and discuss any other associated charges to expect, please contact St. Barnabas Hospital directly.
Total estimated charges
$98.00Insurance Discount
-$41.63Price Negotiated by Insurer
$56.37Deductible 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.
HC COMPLETE CBC W/ AUTO DIFF WBC
$7.77HC EMERGENCY DEPARTMENT LEVEL 4 VISIT HIGH/URGENT SEVERITY
$525.00HC EMERGENCY DEPARTMENT LEVEL 5 VISIT HIGH SEVERITY&THREAT FUNC
$525.00HC INJECTION,THERAP/PROPH/DIAGNOST, IV PUSH, INITIAL DRUG
$257.43HC METABOLIC PANEL,COMPREHENSIVE - BUNDLED CHARGE
$10.56This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to St. Barnabas Hospital so that your price and insurance eligibility can be confirmed.
To verify this rate and discuss any other associated charges to expect, please contact St. Barnabas Hospital directly.
Total estimated charges
$98.00Insurance Discount
-$41.63Price Negotiated by Insurer
$56.37Deductible 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.
HC COMPLETE CBC W/ AUTO DIFF WBC
$7.77HC EMERGENCY DEPARTMENT LEVEL 4 VISIT HIGH/URGENT SEVERITY
$520.28HC EMERGENCY DEPARTMENT LEVEL 5 VISIT HIGH SEVERITY&THREAT FUNC
$749.10HC INJECTION,THERAP/PROPH/DIAGNOST, IV PUSH, INITIAL DRUG
$257.43HC METABOLIC PANEL,COMPREHENSIVE - BUNDLED CHARGE
$10.56This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to St. Barnabas Hospital so that your price and insurance eligibility can be confirmed.
To verify this rate and discuss any other associated charges to expect, please contact St. Barnabas Hospital directly.
Total estimated charges
$98.00Insurance Discount
-$41.63Price Negotiated by Insurer
$56.37Deductible 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.
HC COMPLETE CBC W/ AUTO DIFF WBC
$7.77HC EMERGENCY DEPARTMENT LEVEL 4 VISIT HIGH/URGENT SEVERITY
$520.28HC EMERGENCY DEPARTMENT LEVEL 5 VISIT HIGH SEVERITY&THREAT FUNC
$749.10HC INJECTION,THERAP/PROPH/DIAGNOST, IV PUSH, INITIAL DRUG
$257.43HC METABOLIC PANEL,COMPREHENSIVE - BUNDLED CHARGE
$10.56This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to St. Barnabas Hospital so that your price and insurance eligibility can be confirmed.
To verify this rate and discuss any other associated charges to expect, please contact St. Barnabas Hospital directly.
Total estimated charges
$98.00Insurance Discount
-$81.13Price Negotiated by Insurer
$16.87Deductible 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.
HC COMPLETE CBC W/ AUTO DIFF WBC
$3.20HC EMERGENCY DEPARTMENT LEVEL 4 VISIT HIGH/URGENT SEVERITY
$165.00HC EMERGENCY DEPARTMENT LEVEL 5 VISIT HIGH SEVERITY&THREAT FUNC
$165.00HC INJECTION,THERAP/PROPH/DIAGNOST, IV PUSH, INITIAL DRUG
$40.43HC METABOLIC PANEL,COMPREHENSIVE - BUNDLED CHARGE
$10.10This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to St. Barnabas Hospital so that your price and insurance eligibility can be confirmed.
To verify this rate and discuss any other associated charges to expect, please contact St. Barnabas Hospital directly.
Total estimated charges
$98.00Insurance Discount
-$50.09Price Negotiated by Insurer
$47.91Deductible 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.
HC COMPLETE CBC W/ AUTO DIFF WBC
$7.77HC EMERGENCY DEPARTMENT LEVEL 4 VISIT HIGH/URGENT SEVERITY
$225.00HC EMERGENCY DEPARTMENT LEVEL 5 VISIT HIGH SEVERITY&THREAT FUNC
$225.00HC INJECTION,THERAP/PROPH/DIAGNOST, IV PUSH, INITIAL DRUG
$218.82HC METABOLIC PANEL,COMPREHENSIVE - BUNDLED CHARGE
$10.56This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to St. Barnabas Hospital so that your price and insurance eligibility can be confirmed.
To verify this rate and discuss any other associated charges to expect, please contact St. Barnabas Hospital directly.
Total estimated charges
$98.00Insurance Discount
-$41.63Price Negotiated by Insurer
$56.37Deductible 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.
HC COMPLETE CBC W/ AUTO DIFF WBC
$7.77HC EMERGENCY DEPARTMENT LEVEL 4 VISIT HIGH/URGENT SEVERITY
$520.28HC EMERGENCY DEPARTMENT LEVEL 5 VISIT HIGH SEVERITY&THREAT FUNC
$749.10HC INJECTION,THERAP/PROPH/DIAGNOST, IV PUSH, INITIAL DRUG
$257.43HC METABOLIC PANEL,COMPREHENSIVE - BUNDLED CHARGE
$10.56This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to St. Barnabas Hospital so that your price and insurance eligibility can be confirmed.
To verify this rate and discuss any other associated charges to expect, please contact St. Barnabas Hospital directly.
Total estimated charges
$98.00Insurance Discount
-$40.50Price Negotiated by Insurer
$57.50Deductible 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.
HC COMPLETE CBC W/ AUTO DIFF WBC
$7.93HC EMERGENCY DEPARTMENT LEVEL 4 VISIT HIGH/URGENT SEVERITY
$530.69HC EMERGENCY DEPARTMENT LEVEL 5 VISIT HIGH SEVERITY&THREAT FUNC
$764.08HC INJECTION,THERAP/PROPH/DIAGNOST, IV PUSH, INITIAL DRUG
$262.58HC METABOLIC PANEL,COMPREHENSIVE - BUNDLED CHARGE
$10.77This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to St. Barnabas Hospital so that your price and insurance eligibility can be confirmed.
To verify this rate and discuss any other associated charges to expect, please contact St. Barnabas Hospital directly.
Total estimated charges
$98.00Insurance Discount
-$38.81Price Negotiated by Insurer
$59.19Deductible 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.
HC EMERGENCY DEPARTMENT LEVEL 4 VISIT HIGH/URGENT SEVERITY
$546.29HC EMERGENCY DEPARTMENT LEVEL 5 VISIT HIGH SEVERITY&THREAT FUNC
$786.55This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to St. Barnabas Hospital so that your price and insurance eligibility can be confirmed.
To verify this rate and discuss any other associated charges to expect, please contact St. Barnabas Hospital directly.
Total estimated charges
$98.00Insurance Discount
-$41.63Price Negotiated by Insurer
$56.37Deductible 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.
HC COMPLETE CBC W/ AUTO DIFF WBC
$7.77HC EMERGENCY DEPARTMENT LEVEL 4 VISIT HIGH/URGENT SEVERITY
$520.28HC EMERGENCY DEPARTMENT LEVEL 5 VISIT HIGH SEVERITY&THREAT FUNC
$749.10HC INJECTION,THERAP/PROPH/DIAGNOST, IV PUSH, INITIAL DRUG
$257.43HC METABOLIC PANEL,COMPREHENSIVE - BUNDLED CHARGE
$10.56This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to St. Barnabas Hospital so that your price and insurance eligibility can be confirmed.
To verify this rate and discuss any other associated charges to expect, please contact St. Barnabas Hospital directly.
Total estimated charges
$98.00Insurance Discount
-$49.00Price Negotiated by Insurer
$49.00Deductible 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.
HC COMPLETE CBC W/ AUTO DIFF WBC
$9.85HC EMERGENCY DEPARTMENT LEVEL 4 VISIT HIGH/URGENT SEVERITY
$569.00HC EMERGENCY DEPARTMENT LEVEL 5 VISIT HIGH SEVERITY&THREAT FUNC
$569.00HC INJECTION,THERAP/PROPH/DIAGNOST, IV PUSH, INITIAL DRUG
$76.00HC METABOLIC PANEL,COMPREHENSIVE - BUNDLED CHARGE
$13.38This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to St. Barnabas Hospital so that your price and insurance eligibility can be confirmed.
To verify this rate and discuss any other associated charges to expect, please contact St. Barnabas Hospital directly.
Total estimated charges
$98.00Insurance Discount
-$41.63Price Negotiated by Insurer
$56.37Deductible 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.
HC COMPLETE CBC W/ AUTO DIFF WBC
$7.77HC EMERGENCY DEPARTMENT LEVEL 4 VISIT HIGH/URGENT SEVERITY
$520.28HC EMERGENCY DEPARTMENT LEVEL 5 VISIT HIGH SEVERITY&THREAT FUNC
$749.10HC INJECTION,THERAP/PROPH/DIAGNOST, IV PUSH, INITIAL DRUG
$257.43HC METABOLIC PANEL,COMPREHENSIVE - BUNDLED CHARGE
$10.56This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to St. Barnabas Hospital so that your price and insurance eligibility can be confirmed.
To verify this rate and discuss any other associated charges to expect, please contact St. Barnabas Hospital directly.
Total estimated charges
$98.00Insurance Discount
-$41.63Price Negotiated by Insurer
$56.37Deductible 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.
HC COMPLETE CBC W/ AUTO DIFF WBC
$7.77HC EMERGENCY DEPARTMENT LEVEL 4 VISIT HIGH/URGENT SEVERITY
$520.28HC EMERGENCY DEPARTMENT LEVEL 5 VISIT HIGH SEVERITY&THREAT FUNC
$749.10HC INJECTION,THERAP/PROPH/DIAGNOST, IV PUSH, INITIAL DRUG
$257.43HC METABOLIC PANEL,COMPREHENSIVE - BUNDLED CHARGE
$10.56This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to St. Barnabas Hospital so that your price and insurance eligibility can be confirmed.
To verify this rate and discuss any other associated charges to expect, please contact St. Barnabas Hospital directly.
Total estimated charges
$98.00Insurance Discount
-$44.45Price Negotiated by Insurer
$53.55Deductible 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.
HC COMPLETE CBC W/ AUTO DIFF WBC
$3.20HC EMERGENCY DEPARTMENT LEVEL 4 VISIT HIGH/URGENT SEVERITY
$494.27HC EMERGENCY DEPARTMENT LEVEL 5 VISIT HIGH SEVERITY&THREAT FUNC
$711.64HC INJECTION,THERAP/PROPH/DIAGNOST, IV PUSH, INITIAL DRUG
$244.56HC METABOLIC PANEL,COMPREHENSIVE - BUNDLED CHARGE
$10.10This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to St. Barnabas Hospital so that your price and insurance eligibility can be confirmed.
To verify this rate and discuss any other associated charges to expect, please contact St. Barnabas Hospital directly.
Total estimated charges
$98.00Insurance Discount
-$44.45Price Negotiated by Insurer
$53.55Deductible 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.
HC COMPLETE CBC W/ AUTO DIFF WBC
$6.99HC EMERGENCY DEPARTMENT LEVEL 4 VISIT HIGH/URGENT SEVERITY
$494.27HC EMERGENCY DEPARTMENT LEVEL 5 VISIT HIGH SEVERITY&THREAT FUNC
$711.64HC INJECTION,THERAP/PROPH/DIAGNOST, IV PUSH, INITIAL DRUG
$244.56HC METABOLIC PANEL,COMPREHENSIVE - BUNDLED CHARGE
$9.50This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to St. Barnabas Hospital so that your price and insurance eligibility can be confirmed.
To verify this rate and discuss any other associated charges to expect, please contact St. Barnabas Hospital directly.