CPT 90839
The standard charge for Psychotherapy for crisis, first 60 minutes is $794.00. 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
1805 27th Street, Portsmouth, OH, 45662CONTACT
740-356-7602 Visit WebsiteSouthern Ohio 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, Southern Ohio 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-Southern Ohio 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 740-356-7602.
Choose a plan to view the insurance rate estimate.
Total estimated charges
$794.00Insurance Discount
-$182.62Price Negotiated by Insurer
$611.38Deductible 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.
ACETAMINOPHEN (TYLENOL)
$56.21ASSAY SPEC XCP UR&BREATH IA
$153.23DRUG ASSAY SALICYLATE
$33.88EKG CANCER CENTER (T
$186.34OS TRAMADOL
$167.09VENIPUNCTURE
$17.71This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Southern Ohio 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 Southern Ohio Medical Center directly at 740-356-7602.
Total estimated charges
$794.00Insurance Discount
-$520.94Price Negotiated by Insurer
$273.06Deductible 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.
ACETAMINOPHEN (TYLENOL)
$18.64ASSAY SPEC XCP UR&BREATH IA
$17.27DRUG ASSAY SALICYLATE
$18.64EKG CANCER CENTER (T
$83.22OS TRAMADOL
$62.14VENIPUNCTURE
$9.09This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Southern Ohio 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 Southern Ohio Medical Center directly at 740-356-7602.
Total estimated charges
$794.00Insurance Discount
-$645.54Price Negotiated by Insurer
$148.46Deductible 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.
ACETAMINOPHEN (TYLENOL)
$18.64ASSAY SPEC XCP UR&BREATH IA
$17.27BASIC METABOLIC PANEL (CALCIUM, TOTAL) THIS PANEL MUST INCLUDE THE FOLLOWING: CALCIUM, TOTAL (82310) CARBON DIOXIDE (BICARBONATE) (82374) CHLORIDE (82435) CREATININE (82565) GLUCOSE (82947) POTASSIUM (84132) SODIUM (84295) UREA NITROGEN (BUN) (84520)
$8.46BLOOD COUNT; COMPLETE (CBC), AUTOMATED (HGB, HCT, RBC, WBC AND PLATELET COUNT) AND AUTOMATED DIFFERENTIAL WBC COUNT
$7.77DRUG ASSAY SALICYLATE
$18.64EKG CANCER CENTER (T
$54.88HEPATIC FUNCTION PANEL THIS PANEL MUST INCLUDE THE FOLLOWING: ALBUMIN (82040) BILIRUBIN, TOTAL (82247) BILIRUBIN, DIRECT (82248) PHOSPHATASE, ALKALINE (84075) PROTEIN, TOTAL (84155) TRANSFERASE, ALANINE AMINO (ALT) (SGPT) (84460) TRANSFERASE, ASPARTATE A
$8.17OS TRAMADOL
$62.14VENIPUNCTURE
$9.09This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Southern Ohio 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 Southern Ohio Medical Center directly at 740-356-7602.
Total estimated charges
$794.00Insurance Discount
-$174.68Price Negotiated by Insurer
$619.32Deductible 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.
ACETAMINOPHEN (TYLENOL)
$58.62ASSAY SPEC XCP UR&BREATH IA
$159.80DRUG ASSAY SALICYLATE
$35.33EKG CANCER CENTER (T
$188.76OS TRAMADOL
$174.25VENIPUNCTURE
$18.47This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Southern Ohio 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 Southern Ohio Medical Center directly at 740-356-7602.
Total estimated charges
$794.00Insurance Discount
-$586.16Price Negotiated by Insurer
$207.84Deductible 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.
ACETAMINOPHEN (TYLENOL)
$26.10ASSAY SPEC XCP UR&BREATH IA
$24.18BASIC METABOLIC PANEL (CALCIUM, TOTAL) THIS PANEL MUST INCLUDE THE FOLLOWING: CALCIUM, TOTAL (82310) CARBON DIOXIDE (BICARBONATE) (82374) CHLORIDE (82435) CREATININE (82565) GLUCOSE (82947) POTASSIUM (84132) SODIUM (84295) UREA NITROGEN (BUN) (84520)
$11.84BLOOD COUNT; COMPLETE (CBC), AUTOMATED (HGB, HCT, RBC, WBC AND PLATELET COUNT) AND AUTOMATED DIFFERENTIAL WBC COUNT
$10.88DRUG ASSAY SALICYLATE
$26.10EKG CANCER CENTER (T
$76.83HEPATIC FUNCTION PANEL THIS PANEL MUST INCLUDE THE FOLLOWING: ALBUMIN (82040) BILIRUBIN, TOTAL (82247) BILIRUBIN, DIRECT (82248) PHOSPHATASE, ALKALINE (84075) PROTEIN, TOTAL (84155) TRANSFERASE, ALANINE AMINO (ALT) (SGPT) (84460) TRANSFERASE, ASPARTATE A
$11.44OS TRAMADOL
$87.00VENIPUNCTURE
$12.73This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Southern Ohio 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 Southern Ohio Medical Center directly at 740-356-7602.
Total estimated charges
$794.00Insurance Discount
-$593.58Price Negotiated by Insurer
$200.42Deductible 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.
ACETAMINOPHEN (TYLENOL)
$18.64ASSAY SPEC XCP UR&BREATH IA
$17.27BASIC METABOLIC PANEL (CALCIUM, TOTAL) THIS PANEL MUST INCLUDE THE FOLLOWING: CALCIUM, TOTAL (82310) CARBON DIOXIDE (BICARBONATE) (82374) CHLORIDE (82435) CREATININE (82565) GLUCOSE (82947) POTASSIUM (84132) SODIUM (84295) UREA NITROGEN (BUN) (84520)
$11.42BLOOD COUNT; COMPLETE (CBC), AUTOMATED (HGB, HCT, RBC, WBC AND PLATELET COUNT) AND AUTOMATED DIFFERENTIAL WBC COUNT
$10.49DRUG ASSAY SALICYLATE
$18.64EKG CANCER CENTER (T
$74.09HEPATIC FUNCTION PANEL THIS PANEL MUST INCLUDE THE FOLLOWING: ALBUMIN (82040) BILIRUBIN, TOTAL (82247) BILIRUBIN, DIRECT (82248) PHOSPHATASE, ALKALINE (84075) PROTEIN, TOTAL (84155) TRANSFERASE, ALANINE AMINO (ALT) (SGPT) (84460) TRANSFERASE, ASPARTATE A
$11.03OS TRAMADOL
$62.14VENIPUNCTURE
$9.09This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Southern Ohio 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 Southern Ohio Medical Center directly at 740-356-7602.
Total estimated charges
$794.00Insurance Discount
-$397.00Price Negotiated by Insurer
$397.00Deductible 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.
ACETAMINOPHEN (TYLENOL)
$36.50ASSAY SPEC XCP UR&BREATH IA
$99.50DRUG ASSAY SALICYLATE
$22.00EKG CANCER CENTER (T
$121.00OS TRAMADOL
$108.50VENIPUNCTURE
$11.50This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Southern Ohio 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 Southern Ohio Medical Center directly at 740-356-7602.
Total estimated charges
$794.00Insurance Discount
-$134.98Price Negotiated by Insurer
$659.02Deductible 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.
ACETAMINOPHEN (TYLENOL)
$60.59ASSAY SPEC XCP UR&BREATH IA
$165.17DRUG ASSAY SALICYLATE
$36.52EKG CANCER CENTER (T
$200.86OS TRAMADOL
$180.11VENIPUNCTURE
$19.09This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Southern Ohio 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 Southern Ohio Medical Center directly at 740-356-7602.
Total estimated charges
$794.00Insurance Discount
-$39.70Price Negotiated by Insurer
$754.30Deductible 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.
ACETAMINOPHEN (TYLENOL)
$69.35ASSAY SPEC XCP UR&BREATH IA
$189.05DRUG ASSAY SALICYLATE
$41.80EKG CANCER CENTER (T
$229.90OS TRAMADOL
$206.15VENIPUNCTURE
$21.85This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Southern Ohio 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 Southern Ohio Medical Center directly at 740-356-7602.
Total estimated charges
$794.00Insurance Discount
-$119.10Price Negotiated by Insurer
$674.90Deductible 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.
ACETAMINOPHEN (TYLENOL)
$62.05ASSAY SPEC XCP UR&BREATH IA
$169.15DRUG ASSAY SALICYLATE
$37.40EKG CANCER CENTER (T
$205.70OS TRAMADOL
$184.45VENIPUNCTURE
$19.55This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Southern Ohio 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 Southern Ohio Medical Center directly at 740-356-7602.
Total estimated charges
$794.00Insurance Discount
-$520.94Price Negotiated by Insurer
$273.06Deductible 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.
ACETAMINOPHEN (TYLENOL)
$18.64ASSAY SPEC XCP UR&BREATH IA
$17.27DRUG ASSAY SALICYLATE
$18.64EKG CANCER CENTER (T
$83.22OS TRAMADOL
$62.14VENIPUNCTURE
$9.09This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Southern Ohio 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 Southern Ohio Medical Center directly at 740-356-7602.
Total estimated charges
$794.00Insurance Discount
-$645.54Price Negotiated by Insurer
$148.46Deductible 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.
ACETAMINOPHEN (TYLENOL)
$18.64ASSAY SPEC XCP UR&BREATH IA
$17.27BASIC METABOLIC PANEL (CALCIUM, TOTAL) THIS PANEL MUST INCLUDE THE FOLLOWING: CALCIUM, TOTAL (82310) CARBON DIOXIDE (BICARBONATE) (82374) CHLORIDE (82435) CREATININE (82565) GLUCOSE (82947) POTASSIUM (84132) SODIUM (84295) UREA NITROGEN (BUN) (84520)
$8.46BLOOD COUNT; COMPLETE (CBC), AUTOMATED (HGB, HCT, RBC, WBC AND PLATELET COUNT) AND AUTOMATED DIFFERENTIAL WBC COUNT
$7.77DRUG ASSAY SALICYLATE
$18.64EKG CANCER CENTER (T
$54.88HEPATIC FUNCTION PANEL THIS PANEL MUST INCLUDE THE FOLLOWING: ALBUMIN (82040) BILIRUBIN, TOTAL (82247) BILIRUBIN, DIRECT (82248) PHOSPHATASE, ALKALINE (84075) PROTEIN, TOTAL (84155) TRANSFERASE, ALANINE AMINO (ALT) (SGPT) (84460) TRANSFERASE, ASPARTATE A
$8.17OS TRAMADOL
$62.14VENIPUNCTURE
$9.09This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Southern Ohio 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 Southern Ohio Medical Center directly at 740-356-7602.
Total estimated charges
$794.00Insurance Discount
-$518.16Price Negotiated by Insurer
$275.84Deductible 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.
ACETAMINOPHEN (TYLENOL)
$18.83ASSAY SPEC XCP UR&BREATH IA
$17.44DRUG ASSAY SALICYLATE
$18.83EKG CANCER CENTER (T
$84.07OS TRAMADOL
$62.76VENIPUNCTURE
$9.18This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Southern Ohio 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 Southern Ohio Medical Center directly at 740-356-7602.
Total estimated charges
$794.00Insurance Discount
-$142.92Price Negotiated by Insurer
$651.08Deductible 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.
ACETAMINOPHEN (TYLENOL)
$59.86ASSAY SPEC XCP UR&BREATH IA
$163.18DRUG ASSAY SALICYLATE
$36.08EKG CANCER CENTER (T
$198.44OS TRAMADOL
$177.94VENIPUNCTURE
$18.86This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Southern Ohio 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 Southern Ohio Medical Center directly at 740-356-7602.
Total estimated charges
$794.00Insurance Discount
-$208.03Price Negotiated by Insurer
$585.97Deductible 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.
ACETAMINOPHEN (TYLENOL)
$53.87ASSAY SPEC XCP UR&BREATH IA
$146.86DRUG ASSAY SALICYLATE
$32.47EKG CANCER CENTER (T
$178.60OS TRAMADOL
$160.15VENIPUNCTURE
$16.97This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Southern Ohio 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 Southern Ohio Medical Center directly at 740-356-7602.
Total estimated charges
$794.00Insurance Discount
-$615.85Price Negotiated by Insurer
$178.15Deductible 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.
ACETAMINOPHEN (TYLENOL)
$22.37ASSAY SPEC XCP UR&BREATH IA
$20.72BASIC METABOLIC PANEL (CALCIUM, TOTAL) THIS PANEL MUST INCLUDE THE FOLLOWING: CALCIUM, TOTAL (82310) CARBON DIOXIDE (BICARBONATE) (82374) CHLORIDE (82435) CREATININE (82565) GLUCOSE (82947) POTASSIUM (84132) SODIUM (84295) UREA NITROGEN (BUN) (84520)
$10.15BLOOD COUNT; COMPLETE (CBC), AUTOMATED (HGB, HCT, RBC, WBC AND PLATELET COUNT) AND AUTOMATED DIFFERENTIAL WBC COUNT
$9.32DRUG ASSAY SALICYLATE
$22.37EKG CANCER CENTER (T
$65.86HEPATIC FUNCTION PANEL THIS PANEL MUST INCLUDE THE FOLLOWING: ALBUMIN (82040) BILIRUBIN, TOTAL (82247) BILIRUBIN, DIRECT (82248) PHOSPHATASE, ALKALINE (84075) PROTEIN, TOTAL (84155) TRANSFERASE, ALANINE AMINO (ALT) (SGPT) (84460) TRANSFERASE, ASPARTATE A
$9.80OS TRAMADOL
$74.57VENIPUNCTURE
$10.91This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Southern Ohio 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 Southern Ohio Medical Center directly at 740-356-7602.
Total estimated charges
$794.00Insurance Discount
-$515.46Price Negotiated by Insurer
$278.54Deductible 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.
ACETAMINOPHEN (TYLENOL)
$19.01ASSAY SPEC XCP UR&BREATH IA
$17.62DRUG ASSAY SALICYLATE
$19.01EKG CANCER CENTER (T
$84.89OS TRAMADOL
$63.38VENIPUNCTURE
$9.27This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Southern Ohio 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 Southern Ohio Medical Center directly at 740-356-7602.
Total estimated charges
$794.00Insurance Discount
-$95.28Price Negotiated by Insurer
$698.72Deductible 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.
ACETAMINOPHEN (TYLENOL)
$64.24ASSAY SPEC XCP UR&BREATH IA
$175.12DRUG ASSAY SALICYLATE
$38.72EKG CANCER CENTER (T
$212.96OS TRAMADOL
$190.96VENIPUNCTURE
$20.24This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Southern Ohio 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 Southern Ohio Medical Center directly at 740-356-7602.
Total estimated charges
$794.00Insurance Discount
-$198.50Price Negotiated by Insurer
$595.50Deductible 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.
ACETAMINOPHEN (TYLENOL)
$54.75ASSAY SPEC XCP UR&BREATH IA
$149.25DRUG ASSAY SALICYLATE
$33.00EKG CANCER CENTER (T
$181.50OS TRAMADOL
$162.75VENIPUNCTURE
$17.25This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Southern Ohio 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 Southern Ohio Medical Center directly at 740-356-7602.
Total estimated charges
$794.00Insurance Discount
-$158.80Price Negotiated by Insurer
$635.20Deductible 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.
ACETAMINOPHEN (TYLENOL)
$58.40ASSAY SPEC XCP UR&BREATH IA
$159.20DRUG ASSAY SALICYLATE
$35.20EKG CANCER CENTER (T
$193.60OS TRAMADOL
$173.60VENIPUNCTURE
$18.40This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Southern Ohio 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 Southern Ohio Medical Center directly at 740-356-7602.
Total estimated charges
$794.00Insurance Discount
-$103.22Price Negotiated by Insurer
$690.78Deductible 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.
ACETAMINOPHEN (TYLENOL)
$63.51ASSAY SPEC XCP UR&BREATH IA
$173.13DRUG ASSAY SALICYLATE
$38.28EKG CANCER CENTER (T
$210.54OS TRAMADOL
$188.79VENIPUNCTURE
$20.01This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Southern Ohio 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 Southern Ohio Medical Center directly at 740-356-7602.
Total estimated charges
$794.00Insurance Discount
-$246.14Price Negotiated by Insurer
$547.86Deductible 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.
ACETAMINOPHEN (TYLENOL)
$50.37ASSAY SPEC XCP UR&BREATH IA
$137.31DRUG ASSAY SALICYLATE
$30.36EKG CANCER CENTER (T
$166.98OS TRAMADOL
$149.73VENIPUNCTURE
$15.87This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Southern Ohio 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 Southern Ohio Medical Center directly at 740-356-7602.
Total estimated charges
$794.00Insurance Discount
-$31.76Price Negotiated by Insurer
$762.24Deductible 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.
ACETAMINOPHEN (TYLENOL)
$70.08ASSAY SPEC XCP UR&BREATH IA
$191.04DRUG ASSAY SALICYLATE
$42.24EKG CANCER CENTER (T
$232.32OS TRAMADOL
$208.32VENIPUNCTURE
$22.08This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Southern Ohio 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 Southern Ohio Medical Center directly at 740-356-7602.
Total estimated charges
$794.00Insurance Discount
-$95.28Price Negotiated by Insurer
$698.72Deductible 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.
ACETAMINOPHEN (TYLENOL)
$64.24ASSAY SPEC XCP UR&BREATH IA
$175.12DRUG ASSAY SALICYLATE
$38.72EKG CANCER CENTER (T
$212.96OS TRAMADOL
$190.96VENIPUNCTURE
$20.24This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Southern Ohio 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 Southern Ohio Medical Center directly at 740-356-7602.