
CPT 96415
The standard charge for Chemotherapy infusion-each additional hour is $630.00. 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
901 Adams Street, Afton, WY, 83110CONTACT
(307) 885-5800 Visit WebsiteStar Valley Health 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, Star Valley Health 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-Star Valley Health 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 866-641-1039.
Choose a plan to view the insurance rate estimate.
Total estimated charges
$630.00Insurance Discount
-$12.60Price Negotiated by Insurer
$617.40Deductible 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 CAMS DEXAMETHASONE SODIUM PHOS
$7.84HC CHEMOTHER, IV INFUSION, 1 HR
$813.40HC INJECTION,THERAP/PROPH/DIAGNOST, IV PUSH, EA ADD, NEW DRUG
$352.80SODIUM CHLORIDE 0.9 % IV BOLUS [400291]
$14.75This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Star Valley Health so that your price and insurance eligibility can be confirmed.
To verify this rate and discuss any other associated charges to expect, please contact Star Valley Health directly at (307) 885-5800.
Total estimated charges
$630.00Insurance Discount
-$214.20Price Negotiated by Insurer
$415.80Deductible 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 CAMS DEXAMETHASONE SODIUM PHOS
$12.45HC CHEMOTHER, IV INFUSION, 1 HR
$547.80HC INJECTION,THERAP/PROPH/DIAGNOST, IV PUSH, EA ADD, NEW DRUG
$237.60SODIUM CHLORIDE 0.9 % IV BOLUS [400291]
$0.03This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Star Valley Health so that your price and insurance eligibility can be confirmed.
To verify this rate and discuss any other associated charges to expect, please contact Star Valley Health directly at (307) 885-5800.
Total estimated charges
$630.00Insurance Discount
-$25.20Price Negotiated by Insurer
$604.80Deductible 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 CAMS DEXAMETHASONE SODIUM PHOS
$18.12HC CHEMOTHER, IV INFUSION, 1 HR
$796.80HC INJECTION,THERAP/PROPH/DIAGNOST, IV PUSH, EA ADD, NEW DRUG
$345.60SODIUM CHLORIDE 0.9 % IV BOLUS [400291]
$0.05This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Star Valley Health so that your price and insurance eligibility can be confirmed.
To verify this rate and discuss any other associated charges to expect, please contact Star Valley Health directly at (307) 885-5800.
Total estimated charges
$630.00Insurance Discount
-$25.20Price Negotiated by Insurer
$604.80Deductible 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 CAMS DEXAMETHASONE SODIUM PHOS
$18.12HC CHEMOTHER, IV INFUSION, 1 HR
$796.80HC INJECTION,THERAP/PROPH/DIAGNOST, IV PUSH, EA ADD, NEW DRUG
$345.60SODIUM CHLORIDE 0.9 % IV BOLUS [400291]
$0.05This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Star Valley Health so that your price and insurance eligibility can be confirmed.
To verify this rate and discuss any other associated charges to expect, please contact Star Valley Health directly at (307) 885-5800.
Total estimated charges
$630.00Insurance Discount
-$12.60Price Negotiated by Insurer
$617.40Deductible 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 CAMS DEXAMETHASONE SODIUM PHOS
$18.49HC CHEMOTHER, IV INFUSION, 1 HR
$813.40HC INJECTION,THERAP/PROPH/DIAGNOST, IV PUSH, EA ADD, NEW DRUG
$352.80SODIUM CHLORIDE 0.9 % IV BOLUS [400291]
$0.05This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Star Valley Health so that your price and insurance eligibility can be confirmed.
To verify this rate and discuss any other associated charges to expect, please contact Star Valley Health directly at (307) 885-5800.
Total estimated charges
$630.00Insurance Discount
-$112.77Price Negotiated by Insurer
$517.23Deductible 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 CAMS DEXAMETHASONE SODIUM PHOS
$15.49HC CHEMOTHER, IV INFUSION, 1 HR
$681.43HC INJECTION,THERAP/PROPH/DIAGNOST, IV PUSH, EA ADD, NEW DRUG
$295.56SODIUM CHLORIDE 0.9 % IV BOLUS [400291]
$0.04This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Star Valley Health so that your price and insurance eligibility can be confirmed.
To verify this rate and discuss any other associated charges to expect, please contact Star Valley Health directly at (307) 885-5800.
Total estimated charges
$630.00Insurance Discount
-$189.00Price Negotiated by Insurer
$441.00Deductible 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 CAMS DEXAMETHASONE SODIUM PHOS
$18.06HC CHEMOTHER, IV INFUSION, 1 HR
$581.00HC INJECTION,THERAP/PROPH/DIAGNOST, IV PUSH, EA ADD, NEW DRUG
$252.00SODIUM CHLORIDE 0.9 % IV BOLUS [400291]
$10.53This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Star Valley Health so that your price and insurance eligibility can be confirmed.
To verify this rate and discuss any other associated charges to expect, please contact Star Valley Health directly at (307) 885-5800.
Total estimated charges
$630.00Insurance Discount
-$18.90Price Negotiated by Insurer
$611.10Deductible 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 CAMS DEXAMETHASONE SODIUM PHOS
$18.30HC CHEMOTHER, IV INFUSION, 1 HR
$805.10HC INJECTION,THERAP/PROPH/DIAGNOST, IV PUSH, EA ADD, NEW DRUG
$349.20SODIUM CHLORIDE 0.9 % IV BOLUS [400291]
$0.05This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Star Valley Health so that your price and insurance eligibility can be confirmed.
To verify this rate and discuss any other associated charges to expect, please contact Star Valley Health directly at (307) 885-5800.
Total estimated charges
$630.00Insurance Discount
-$12.60Price Negotiated by Insurer
$617.40Deductible 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 CAMS DEXAMETHASONE SODIUM PHOS
$40.42HC CHEMOTHER, IV INFUSION, 1 HR
$813.40HC INJECTION,THERAP/PROPH/DIAGNOST, IV PUSH, EA ADD, NEW DRUG
$352.80SODIUM CHLORIDE 0.9 % IV BOLUS [400291]
$0.05This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Star Valley Health so that your price and insurance eligibility can be confirmed.
To verify this rate and discuss any other associated charges to expect, please contact Star Valley Health directly at (307) 885-5800.
Total estimated charges
$630.00Insurance Discount
-$31.50Price Negotiated by Insurer
$598.50Deductible 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 CAMS DEXAMETHASONE SODIUM PHOS
$39.19HC CHEMOTHER, IV INFUSION, 1 HR
$788.50HC INJECTION,THERAP/PROPH/DIAGNOST, IV PUSH, EA ADD, NEW DRUG
$342.00SODIUM CHLORIDE 0.9 % IV BOLUS [400291]
$0.05This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Star Valley Health so that your price and insurance eligibility can be confirmed.
To verify this rate and discuss any other associated charges to expect, please contact Star Valley Health directly at (307) 885-5800.
Total estimated charges
$630.00Insurance Discount
-$31.50Price Negotiated by Insurer
$598.50Deductible 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 CAMS DEXAMETHASONE SODIUM PHOS
$17.93HC CHEMOTHER, IV INFUSION, 1 HR
$788.50HC INJECTION,THERAP/PROPH/DIAGNOST, IV PUSH, EA ADD, NEW DRUG
$342.00SODIUM CHLORIDE 0.9 % IV BOLUS [400291]
$0.05This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Star Valley Health so that your price and insurance eligibility can be confirmed.
To verify this rate and discuss any other associated charges to expect, please contact Star Valley Health directly at (307) 885-5800.
Total estimated charges
$630.00Insurance Discount
-$31.50Price Negotiated by Insurer
$598.50Deductible 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 CAMS DEXAMETHASONE SODIUM PHOS
$20.90HC CHEMOTHER, IV INFUSION, 1 HR
$788.50HC INJECTION,THERAP/PROPH/DIAGNOST, IV PUSH, EA ADD, NEW DRUG
$342.00SODIUM CHLORIDE 0.9 % IV BOLUS [400291]
$0.05This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Star Valley Health so that your price and insurance eligibility can be confirmed.
To verify this rate and discuss any other associated charges to expect, please contact Star Valley Health directly at (307) 885-5800.
Total estimated charges
$630.00Insurance Discount
-$264.60Price Negotiated by Insurer
$365.40Deductible 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 CAMS DEXAMETHASONE SODIUM PHOS
$10.94HC CHEMOTHER, IV INFUSION, 1 HR
$481.40HC INJECTION,THERAP/PROPH/DIAGNOST, IV PUSH, EA ADD, NEW DRUG
$208.80SODIUM CHLORIDE 0.9 % IV BOLUS [400291]
$0.03This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Star Valley Health so that your price and insurance eligibility can be confirmed.
To verify this rate and discuss any other associated charges to expect, please contact Star Valley Health directly at (307) 885-5800.
Total estimated charges
$630.00Insurance Discount
$0.00Price Negotiated by Insurer
$630.00Deductible 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 CAMS DEXAMETHASONE SODIUM PHOS
$18.87HC CHEMOTHER, IV INFUSION, 1 HR
$830.00HC INJECTION,THERAP/PROPH/DIAGNOST, IV PUSH, EA ADD, NEW DRUG
$360.00SODIUM CHLORIDE 0.9 % IV BOLUS [400291]
$15.05This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Star Valley Health so that your price and insurance eligibility can be confirmed.
To verify this rate and discuss any other associated charges to expect, please contact Star Valley Health directly at (307) 885-5800.
Total estimated charges
$630.00Insurance Discount
-$18.90Price Negotiated by Insurer
$611.10Deductible 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 CAMS DEXAMETHASONE SODIUM PHOS
$21.34HC CHEMOTHER, IV INFUSION, 1 HR
$805.10HC INJECTION,THERAP/PROPH/DIAGNOST, IV PUSH, EA ADD, NEW DRUG
$349.20SODIUM CHLORIDE 0.9 % IV BOLUS [400291]
$14.60This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Star Valley Health so that your price and insurance eligibility can be confirmed.
To verify this rate and discuss any other associated charges to expect, please contact Star Valley Health directly at (307) 885-5800.
Total estimated charges
$630.00Insurance Discount
-$282.87Price Negotiated by Insurer
$347.13Deductible 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 CAMS DEXAMETHASONE SODIUM PHOS
$14.22HC CHEMOTHER, IV INFUSION, 1 HR
$457.33HC INJECTION,THERAP/PROPH/DIAGNOST, IV PUSH, EA ADD, NEW DRUG
$198.36SODIUM CHLORIDE 0.9 % IV BOLUS [400291]
$0.03This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Star Valley Health so that your price and insurance eligibility can be confirmed.
To verify this rate and discuss any other associated charges to expect, please contact Star Valley Health directly at (307) 885-5800.
Total estimated charges
$630.00Insurance Discount
-$12.60Price Negotiated by Insurer
$617.40Deductible 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 CAMS DEXAMETHASONE SODIUM PHOS
$18.49HC CHEMOTHER, IV INFUSION, 1 HR
$813.40HC INJECTION,THERAP/PROPH/DIAGNOST, IV PUSH, EA ADD, NEW DRUG
$352.80SODIUM CHLORIDE 0.9 % IV BOLUS [400291]
$0.05This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Star Valley Health so that your price and insurance eligibility can be confirmed.
To verify this rate and discuss any other associated charges to expect, please contact Star Valley Health directly at (307) 885-5800.
Total estimated charges
$630.00Insurance Discount
-$63.00Price Negotiated by Insurer
$567.00Deductible 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 CAMS DEXAMETHASONE SODIUM PHOS
$16.98HC CHEMOTHER, IV INFUSION, 1 HR
$747.00HC INJECTION,THERAP/PROPH/DIAGNOST, IV PUSH, EA ADD, NEW DRUG
$324.00SODIUM CHLORIDE 0.9 % IV BOLUS [400291]
$13.54This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Star Valley Health so that your price and insurance eligibility can be confirmed.
To verify this rate and discuss any other associated charges to expect, please contact Star Valley Health directly at (307) 885-5800.
Total estimated charges
$630.00Insurance Discount
-$12.60Price Negotiated by Insurer
$617.40Deductible 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 CAMS DEXAMETHASONE SODIUM PHOS
$18.49HC CHEMOTHER, IV INFUSION, 1 HR
$813.40HC INJECTION,THERAP/PROPH/DIAGNOST, IV PUSH, EA ADD, NEW DRUG
$352.80SODIUM CHLORIDE 0.9 % IV BOLUS [400291]
$0.05This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Star Valley Health so that your price and insurance eligibility can be confirmed.
To verify this rate and discuss any other associated charges to expect, please contact Star Valley Health directly at (307) 885-5800.
Total estimated charges
$630.00Insurance Discount
-$157.50Price Negotiated by Insurer
$472.50Deductible 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 CAMS DEXAMETHASONE SODIUM PHOS
$14.15HC CHEMOTHER, IV INFUSION, 1 HR
$622.50HC INJECTION,THERAP/PROPH/DIAGNOST, IV PUSH, EA ADD, NEW DRUG
$270.00SODIUM CHLORIDE 0.9 % IV BOLUS [400291]
$0.04This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Star Valley Health so that your price and insurance eligibility can be confirmed.
To verify this rate and discuss any other associated charges to expect, please contact Star Valley Health directly at (307) 885-5800.
Total estimated charges
$630.00Insurance Discount
-$264.60Price Negotiated by Insurer
$365.40Deductible 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 CAMS DEXAMETHASONE SODIUM PHOS
$12.76HC CHEMOTHER, IV INFUSION, 1 HR
$481.40HC INJECTION,THERAP/PROPH/DIAGNOST, IV PUSH, EA ADD, NEW DRUG
$208.80SODIUM CHLORIDE 0.9 % IV BOLUS [400291]
$0.03This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Star Valley Health so that your price and insurance eligibility can be confirmed.
To verify this rate and discuss any other associated charges to expect, please contact Star Valley Health directly at (307) 885-5800.
Total estimated charges
$630.00Insurance Discount
-$81.90Price Negotiated by Insurer
$548.10Deductible 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 CAMS DEXAMETHASONE SODIUM PHOS
$16.42HC CHEMOTHER, IV INFUSION, 1 HR
$722.10HC INJECTION,THERAP/PROPH/DIAGNOST, IV PUSH, EA ADD, NEW DRUG
$313.20SODIUM CHLORIDE 0.9 % IV BOLUS [400291]
$0.04This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Star Valley Health so that your price and insurance eligibility can be confirmed.
To verify this rate and discuss any other associated charges to expect, please contact Star Valley Health directly at (307) 885-5800.
Total estimated charges
$630.00Insurance Discount
-$264.60Price Negotiated by Insurer
$365.40Deductible 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 CAMS DEXAMETHASONE SODIUM PHOS
$10.94HC CHEMOTHER, IV INFUSION, 1 HR
$481.40HC INJECTION,THERAP/PROPH/DIAGNOST, IV PUSH, EA ADD, NEW DRUG
$208.80SODIUM CHLORIDE 0.9 % IV BOLUS [400291]
$0.03This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Star Valley Health so that your price and insurance eligibility can be confirmed.
To verify this rate and discuss any other associated charges to expect, please contact Star Valley Health directly at (307) 885-5800.
Total estimated charges
$630.00Insurance Discount
-$12.60Price Negotiated by Insurer
$617.40Deductible 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 CAMS DEXAMETHASONE SODIUM PHOS
$21.56HC CHEMOTHER, IV INFUSION, 1 HR
$813.40HC INJECTION,THERAP/PROPH/DIAGNOST, IV PUSH, EA ADD, NEW DRUG
$352.80SODIUM CHLORIDE 0.9 % IV BOLUS [400291]
$0.05This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Star Valley Health so that your price and insurance eligibility can be confirmed.
To verify this rate and discuss any other associated charges to expect, please contact Star Valley Health directly at (307) 885-5800.
Total estimated charges
$630.00Insurance Discount
-$31.50Price Negotiated by Insurer
$598.50Deductible 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 CAMS DEXAMETHASONE SODIUM PHOS
$20.90HC CHEMOTHER, IV INFUSION, 1 HR
$788.50HC INJECTION,THERAP/PROPH/DIAGNOST, IV PUSH, EA ADD, NEW DRUG
$342.00SODIUM CHLORIDE 0.9 % IV BOLUS [400291]
$14.28This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Star Valley Health so that your price and insurance eligibility can be confirmed.
To verify this rate and discuss any other associated charges to expect, please contact Star Valley Health directly at (307) 885-5800.