CPT 74019
The standard charge for Radiologic examination, abdomen; 2 views is $180.00. 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
2350 Hospital Drive, Webster City, IA, 50595CONTACT
(515) 832-9400 Visit WebsiteVan Diest 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, Van Diest 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-Van Diest 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 515-832-9400.
Choose a plan to view the insurance rate estimate.
Total estimated charges
$180.00Insurance Discount
-$18.00Price Negotiated by Insurer
$162.00Deductible 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.
CBC WITH DIFF
$72.00COMPREHENSIVE METABOLIC PANEL
$178.20C-REACTIVE PROTEIN-HIGH SENS
$74.70LEVEL 4
$639.90VENIPUNCTURE
$18.90This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Van Diest 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 Van Diest Medical Center directly.
Total estimated charges
$180.00Insurance Discount
-$18.00Price Negotiated by Insurer
$162.00Deductible 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.
CBC WITH DIFF
$72.00COMPREHENSIVE METABOLIC PANEL
$178.20C-REACTIVE PROTEIN-HIGH SENS
$74.70LEVEL 4
$639.90VENIPUNCTURE
$18.90This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Van Diest 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 Van Diest Medical Center directly.
Total estimated charges
$180.00Insurance Discount
-$77.40Price Negotiated by Insurer
$102.60Deductible Applied
-Copay
-Coinsurance
-Your insurance company will pay
-You will owe (Estimate)
Some services may incur additional charges based on the exact care required. Listed below are commonly associated charges with this service and the rate negotiated by your insurance plan. These charges are listed to give you an idea of what types of other services are often required, but not all patients will require these specific services.
CBC WITH DIFF
$45.60COMPREHENSIVE METABOLIC PANEL
$112.86C-REACTIVE PROTEIN-HIGH SENS
$47.31LEVEL 4
$405.27VENIPUNCTURE
$11.97This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Van Diest 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 Van Diest Medical Center directly.
Total estimated charges
$180.00Insurance Discount
-$89.15Price Negotiated by Insurer
$90.85Deductible 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.
CBC WITH DIFF
$40.38COMPREHENSIVE METABOLIC PANEL
$99.93C-REACTIVE PROTEIN-HIGH SENS
$41.89LEVEL 4
$358.84VENIPUNCTURE
$10.60This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Van Diest 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 Van Diest Medical Center directly.
Total estimated charges
$180.00Insurance Discount
-$89.10Price Negotiated by Insurer
$90.90Deductible 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.
CBC WITH DIFF
$40.40COMPREHENSIVE METABOLIC PANEL
$99.99C-REACTIVE PROTEIN-HIGH SENS
$41.92LEVEL 4
$359.06VENIPUNCTURE
$10.60This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Van Diest 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 Van Diest Medical Center directly.
Total estimated charges
$180.00Insurance Discount
-$36.00Price Negotiated by Insurer
$144.00Deductible 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.
CBC WITH DIFF
$64.00COMPREHENSIVE METABOLIC PANEL
$158.40C-REACTIVE PROTEIN-HIGH SENS
$66.40LEVEL 4
$568.80VENIPUNCTURE
$16.80This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Van Diest 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 Van Diest Medical Center directly.
Total estimated charges
$180.00Insurance Discount
-$45.00Price Negotiated by Insurer
$135.00Deductible 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.
CBC WITH DIFF
$60.00COMPREHENSIVE METABOLIC PANEL
$148.50C-REACTIVE PROTEIN-HIGH SENS
$62.25LEVEL 4
$533.25VENIPUNCTURE
$15.75This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Van Diest 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 Van Diest Medical Center directly.
Total estimated charges
$180.00Insurance Discount
-$90.00Price Negotiated by Insurer
$90.00Deductible 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.
CBC WITH DIFF
$40.00COMPREHENSIVE METABOLIC PANEL
$99.00C-REACTIVE PROTEIN-HIGH SENS
$41.50LEVEL 4
$355.50VENIPUNCTURE
$10.50This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Van Diest 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 Van Diest Medical Center directly.
Total estimated charges
$180.00Insurance Discount
-$90.04Price Negotiated by Insurer
$89.96Deductible Applied
-Copay
-Coinsurance
-Your insurance company will pay
-You will owe (Estimate)
Some services may incur additional charges based on the exact care required. Listed below are commonly associated charges with this service and the rate negotiated by your insurance plan. These charges are listed to give you an idea of what types of other services are often required, but not all patients will require these specific services.
CBC WITH DIFF
$39.98COMPREHENSIVE METABOLIC PANEL
$98.96C-REACTIVE PROTEIN-HIGH SENS
$41.48LEVEL 4
$355.36VENIPUNCTURE
$10.50This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Van Diest 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 Van Diest Medical Center directly.
Total estimated charges
$180.00Insurance Discount
-$45.00Price Negotiated by Insurer
$135.00Deductible 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.
CBC WITH DIFF
$60.00COMPREHENSIVE METABOLIC PANEL
$148.50C-REACTIVE PROTEIN-HIGH SENS
$62.25LEVEL 4
$533.25VENIPUNCTURE
$15.75This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Van Diest 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 Van Diest Medical Center directly.
Total estimated charges
$180.00Insurance Discount
-$90.00Price Negotiated by Insurer
$90.00Deductible 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.
CBC WITH DIFF
$40.00COMPREHENSIVE METABOLIC PANEL
$99.00C-REACTIVE PROTEIN-HIGH SENS
$41.50LEVEL 4
$355.50VENIPUNCTURE
$10.50This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Van Diest 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 Van Diest Medical Center directly.
Total estimated charges
$180.00Insurance Discount
-$54.00Price Negotiated by Insurer
$126.00Deductible 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.
CBC WITH DIFF
$56.00COMPREHENSIVE METABOLIC PANEL
$138.60C-REACTIVE PROTEIN-HIGH SENS
$58.10LEVEL 4
$497.70VENIPUNCTURE
$14.70This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Van Diest 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 Van Diest Medical Center directly.
Total estimated charges
$180.00Insurance Discount
-$88.65Price Negotiated by Insurer
$91.35Deductible 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.
CBC WITH DIFF
$40.60COMPREHENSIVE METABOLIC PANEL
$100.48C-REACTIVE PROTEIN-HIGH SENS
$42.12LEVEL 4
$360.83VENIPUNCTURE
$10.66This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Van Diest 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 Van Diest Medical Center directly.
Total estimated charges
$180.00Insurance Discount
-$88.70Price Negotiated by Insurer
$91.30Deductible 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.
CBC WITH DIFF
$40.58COMPREHENSIVE METABOLIC PANEL
$100.43C-REACTIVE PROTEIN-HIGH SENS
$42.10LEVEL 4
$360.62VENIPUNCTURE
$10.65This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Van Diest 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 Van Diest Medical Center directly.
Total estimated charges
$180.00Insurance Discount
-$45.00Price Negotiated by Insurer
$135.00Deductible 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.
CBC WITH DIFF
$60.00COMPREHENSIVE METABOLIC PANEL
$148.50C-REACTIVE PROTEIN-HIGH SENS
$62.25LEVEL 4
$533.25VENIPUNCTURE
$15.75This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Van Diest 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 Van Diest Medical Center directly.
Total estimated charges
$180.00Insurance Discount
-$45.00Price Negotiated by Insurer
$135.00Deductible 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.
CBC WITH DIFF
$60.00COMPREHENSIVE METABOLIC PANEL
$148.50C-REACTIVE PROTEIN-HIGH SENS
$62.25LEVEL 4
$533.25VENIPUNCTURE
$15.75This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Van Diest 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 Van Diest Medical Center directly.
Total estimated charges
$180.00Insurance Discount
-$18.00Price Negotiated by Insurer
$162.00Deductible 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.
CBC WITH DIFF
$72.00COMPREHENSIVE METABOLIC PANEL
$178.20C-REACTIVE PROTEIN-HIGH SENS
$74.70LEVEL 4
$639.90VENIPUNCTURE
$18.90This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Van Diest 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 Van Diest Medical Center directly.
Total estimated charges
$180.00Insurance Discount
-$73.80Price Negotiated by Insurer
$106.20Deductible 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.
CBC WITH DIFF
$47.20COMPREHENSIVE METABOLIC PANEL
$116.82C-REACTIVE PROTEIN-HIGH SENS
$48.97LEVEL 4
$419.49VENIPUNCTURE
$12.39This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Van Diest 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 Van Diest Medical Center directly.
Total estimated charges
$180.00Insurance Discount
-$120.48Price Negotiated by Insurer
$59.52Deductible 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.
CBC WITH DIFF
$32.86COMPREHENSIVE METABOLIC PANEL
$52.08C-REACTIVE PROTEIN-HIGH SENS
$47.12VENIPUNCTURE
$41.54This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Van Diest 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 Van Diest Medical Center directly.
Total estimated charges
$180.00Insurance Discount
-$114.53Price Negotiated by Insurer
$65.47Deductible 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.
CBC WITH DIFF
$36.15COMPREHENSIVE METABOLIC PANEL
$57.29C-REACTIVE PROTEIN-HIGH SENS
$51.83VENIPUNCTURE
$45.69This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Van Diest 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 Van Diest Medical Center directly.