CPT J2795
The standard charge for Injection, ropivacaine hydrochloride, 1 mg is $38.39. 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
$38.39Insurance Discount
-$3.84Price Negotiated by Insurer
$34.55Deductible 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.
iohexol 300 mg/mL Sol[VDMC]
$155.48lidocaine in D5W 2000 mg sol 4 mg/ml 500ml [VDMC]
$57.02triamcinolone acetonide 40 mg/mL 1ml SDV Sus [VDMC]
$29.26This 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
$38.39Insurance Discount
-$3.84Price Negotiated by Insurer
$34.55Deductible 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.
iohexol 300 mg/mL Sol[VDMC]
$155.48lidocaine in D5W 2000 mg sol 4 mg/ml 500ml [VDMC]
$57.02triamcinolone acetonide 40 mg/mL 1ml SDV Sus [VDMC]
$29.26This 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
$38.39Insurance Discount
-$16.51Price Negotiated by Insurer
$21.88Deductible 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.
iohexol 300 mg/mL Sol[VDMC]
$98.47lidocaine in D5W 2000 mg sol 4 mg/ml 500ml [VDMC]
$36.12triamcinolone acetonide 40 mg/mL 1ml SDV Sus [VDMC]
$18.53This 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
$38.39Insurance Discount
-$19.01Price Negotiated by Insurer
$19.38Deductible 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.
iohexol 300 mg/mL Sol[VDMC]
$87.19lidocaine in D5W 2000 mg sol 4 mg/ml 500ml [VDMC]
$31.98triamcinolone acetonide 40 mg/mL 1ml SDV Sus [VDMC]
$16.41This 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
$38.39Insurance Discount
-$19.00Price Negotiated by Insurer
$19.39Deductible 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.
iohexol 300 mg/mL Sol[VDMC]
$87.24lidocaine in D5W 2000 mg sol 4 mg/ml 500ml [VDMC]
$32.00triamcinolone acetonide 40 mg/mL 1ml SDV Sus [VDMC]
$16.42This 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
$38.39Insurance Discount
-$7.68Price Negotiated by Insurer
$30.71Deductible 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.
iohexol 300 mg/mL Sol[VDMC]
$138.21lidocaine in D5W 2000 mg sol 4 mg/ml 500ml [VDMC]
$50.69triamcinolone acetonide 40 mg/mL 1ml SDV Sus [VDMC]
$26.01This 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
$38.39Insurance Discount
-$9.60Price Negotiated by Insurer
$28.79Deductible 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.
iohexol 300 mg/mL Sol[VDMC]
$129.57lidocaine in D5W 2000 mg sol 4 mg/ml 500ml [VDMC]
$47.52triamcinolone acetonide 40 mg/mL 1ml SDV Sus [VDMC]
$24.38This 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
$38.39Insurance Discount
-$19.19Price Negotiated by Insurer
$19.20Deductible 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.
iohexol 300 mg/mL Sol[VDMC]
$86.38lidocaine in D5W 2000 mg sol 4 mg/ml 500ml [VDMC]
$31.68triamcinolone acetonide 40 mg/mL 1ml SDV Sus [VDMC]
$16.26This 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
$38.39Insurance Discount
-$19.20Price Negotiated by Insurer
$19.19Deductible 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.
iohexol 300 mg/mL Sol[VDMC]
$86.35lidocaine in D5W 2000 mg sol 4 mg/ml 500ml [VDMC]
$31.67triamcinolone acetonide 40 mg/mL 1ml SDV Sus [VDMC]
$16.25This 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
$38.39Insurance Discount
-$9.60Price Negotiated by Insurer
$28.79Deductible 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.
iohexol 300 mg/mL Sol[VDMC]
$129.57lidocaine in D5W 2000 mg sol 4 mg/ml 500ml [VDMC]
$47.52triamcinolone acetonide 40 mg/mL 1ml SDV Sus [VDMC]
$24.38This 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
$38.39Insurance Discount
-$19.19Price Negotiated by Insurer
$19.20Deductible 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.
iohexol 300 mg/mL Sol[VDMC]
$86.38lidocaine in D5W 2000 mg sol 4 mg/ml 500ml [VDMC]
$31.68triamcinolone acetonide 40 mg/mL 1ml SDV Sus [VDMC]
$16.26This 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
$38.39Insurance Discount
-$11.52Price Negotiated by Insurer
$26.87Deductible 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.
iohexol 300 mg/mL Sol[VDMC]
$120.93lidocaine in D5W 2000 mg sol 4 mg/ml 500ml [VDMC]
$44.35triamcinolone acetonide 40 mg/mL 1ml SDV Sus [VDMC]
$22.76This 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
$38.39Insurance Discount
-$18.91Price Negotiated by Insurer
$19.48Deductible 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.
iohexol 300 mg/mL Sol[VDMC]
$87.68lidocaine in D5W 2000 mg sol 4 mg/ml 500ml [VDMC]
$32.16triamcinolone acetonide 40 mg/mL 1ml SDV Sus [VDMC]
$16.50This 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
$38.39Insurance Discount
-$18.92Price Negotiated by Insurer
$19.47Deductible 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.
iohexol 300 mg/mL Sol[VDMC]
$87.62lidocaine in D5W 2000 mg sol 4 mg/ml 500ml [VDMC]
$32.14triamcinolone acetonide 40 mg/mL 1ml SDV Sus [VDMC]
$16.49This 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
$38.39Insurance Discount
-$9.60Price Negotiated by Insurer
$28.79Deductible 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.
iohexol 300 mg/mL Sol[VDMC]
$129.57lidocaine in D5W 2000 mg sol 4 mg/ml 500ml [VDMC]
$47.52triamcinolone acetonide 40 mg/mL 1ml SDV Sus [VDMC]
$24.38This 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
$38.39Insurance Discount
-$9.60Price Negotiated by Insurer
$28.79Deductible 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.
iohexol 300 mg/mL Sol[VDMC]
$129.57lidocaine in D5W 2000 mg sol 4 mg/ml 500ml [VDMC]
$47.52triamcinolone acetonide 40 mg/mL 1ml SDV Sus [VDMC]
$24.38This 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
$38.39Insurance Discount
-$3.84Price Negotiated by Insurer
$34.55Deductible 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.
iohexol 300 mg/mL Sol[VDMC]
$155.48lidocaine in D5W 2000 mg sol 4 mg/ml 500ml [VDMC]
$57.02triamcinolone acetonide 40 mg/mL 1ml SDV Sus [VDMC]
$29.26This 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
$38.39Insurance Discount
-$15.74Price Negotiated by Insurer
$22.65Deductible 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.
iohexol 300 mg/mL Sol[VDMC]
$101.93lidocaine in D5W 2000 mg sol 4 mg/ml 500ml [VDMC]
$37.38triamcinolone acetonide 40 mg/mL 1ml SDV Sus [VDMC]
$19.18This 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.