CPT 96361
The standard charge for Intravenous infusion, hydration; each additional hour (List separately in addition to code for primary procedure) is $152.00. 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
$152.00Insurance Discount
-$15.20Price Negotiated by Insurer
$136.80Deductible 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.
CBC WITH DIFF
$72.00COMPREHENSIVE METABOLIC PANEL
$178.20lactase 3000 units Tab [VDMC]
$1.25LEVEL 4
$639.90Sodium Chloride 0.9% IV Sol 1000 mL [VDMC]
$60.12VENIPUNCTURE
$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
$152.00Insurance Discount
-$15.20Price Negotiated by Insurer
$136.80Deductible 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.
CBC WITH DIFF
$72.00COMPREHENSIVE METABOLIC PANEL
$178.20lactase 3000 units Tab [VDMC]
$1.25LEVEL 4
$639.90Sodium Chloride 0.9% IV Sol 1000 mL [VDMC]
$60.12VENIPUNCTURE
$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
$152.00Insurance Discount
-$65.36Price Negotiated by Insurer
$86.64Deductible Applied
-Copay
-Coinsurance
-Your insurance company will pay
-You will owe (Estimate)
Some services may incur additional charges based on the exact care required. Listed below are commonly associated charges with this service and the rate negotiated by your insurance plan. These charges are listed to give you an idea of what types of other services are often required, but not all patients will require these specific services.
CBC WITH DIFF
$45.60COMPREHENSIVE METABOLIC PANEL
$112.86lactase 3000 units Tab [VDMC]
$0.79LEVEL 4
$405.27Sodium Chloride 0.9% IV Sol 1000 mL [VDMC]
$38.08VENIPUNCTURE
$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
$152.00Insurance Discount
-$75.29Price Negotiated by Insurer
$76.71Deductible 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.
CBC WITH DIFF
$40.38COMPREHENSIVE METABOLIC PANEL
$99.93lactase 3000 units Tab [VDMC]
$0.70LEVEL 4
$358.84Sodium Chloride 0.9% IV Sol 1000 mL [VDMC]
$33.71VENIPUNCTURE
$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
$152.00Insurance Discount
-$75.24Price Negotiated by Insurer
$76.76Deductible 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
$99.99lactase 3000 units Tab [VDMC]
$0.70LEVEL 4
$359.06Sodium Chloride 0.9% IV Sol 1000 mL [VDMC]
$33.73VENIPUNCTURE
$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
$152.00Insurance Discount
-$30.40Price Negotiated by Insurer
$121.60Deductible 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
$64.00COMPREHENSIVE METABOLIC PANEL
$158.40lactase 3000 units Tab [VDMC]
$1.11LEVEL 4
$568.80Sodium Chloride 0.9% IV Sol 1000 mL [VDMC]
$53.44VENIPUNCTURE
$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
$152.00Insurance Discount
-$38.00Price Negotiated by Insurer
$114.00Deductible 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
$148.50lactase 3000 units Tab [VDMC]
$1.04LEVEL 4
$533.25Sodium Chloride 0.9% IV Sol 1000 mL [VDMC]
$50.10VENIPUNCTURE
$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
$152.00Insurance Discount
-$76.00Price Negotiated by Insurer
$76.00Deductible 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
$99.00lactase 3000 units Tab [VDMC]
$0.70LEVEL 4
$355.50Sodium Chloride 0.9% IV Sol 1000 mL [VDMC]
$33.40VENIPUNCTURE
$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
$152.00Insurance Discount
-$76.03Price Negotiated by Insurer
$75.97Deductible 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.
CBC WITH DIFF
$39.98COMPREHENSIVE METABOLIC PANEL
$98.96lactase 3000 units Tab [VDMC]
$0.69LEVEL 4
$355.36Sodium Chloride 0.9% IV Sol 1000 mL [VDMC]
$33.39VENIPUNCTURE
$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
$152.00Insurance Discount
-$38.00Price Negotiated by Insurer
$114.00Deductible 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
$148.50lactase 3000 units Tab [VDMC]
$1.04LEVEL 4
$533.25Sodium Chloride 0.9% IV Sol 1000 mL [VDMC]
$50.10VENIPUNCTURE
$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
$152.00Insurance Discount
-$76.00Price Negotiated by Insurer
$76.00Deductible 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
$99.00lactase 3000 units Tab [VDMC]
$0.70LEVEL 4
$355.50Sodium Chloride 0.9% IV Sol 1000 mL [VDMC]
$33.40VENIPUNCTURE
$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
$152.00Insurance Discount
-$45.60Price Negotiated by Insurer
$106.40Deductible 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.
CBC WITH DIFF
$56.00COMPREHENSIVE METABOLIC PANEL
$138.60lactase 3000 units Tab [VDMC]
$0.97LEVEL 4
$497.70Sodium Chloride 0.9% IV Sol 1000 mL [VDMC]
$46.76VENIPUNCTURE
$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
$152.00Insurance Discount
-$74.86Price Negotiated by Insurer
$77.14Deductible 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
$100.48lactase 3000 units Tab [VDMC]
$0.71LEVEL 4
$360.83Sodium Chloride 0.9% IV Sol 1000 mL [VDMC]
$33.90VENIPUNCTURE
$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
$152.00Insurance Discount
-$74.91Price Negotiated by Insurer
$77.09Deductible 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
$100.43lactase 3000 units Tab [VDMC]
$0.71LEVEL 4
$360.62Sodium Chloride 0.9% IV Sol 1000 mL [VDMC]
$33.88VENIPUNCTURE
$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
$152.00Insurance Discount
-$38.00Price Negotiated by Insurer
$114.00Deductible 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
$148.50lactase 3000 units Tab [VDMC]
$1.04LEVEL 4
$533.25Sodium Chloride 0.9% IV Sol 1000 mL [VDMC]
$50.10VENIPUNCTURE
$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
$152.00Insurance Discount
-$38.00Price Negotiated by Insurer
$114.00Deductible 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
$148.50lactase 3000 units Tab [VDMC]
$1.04LEVEL 4
$533.25Sodium Chloride 0.9% IV Sol 1000 mL [VDMC]
$50.10VENIPUNCTURE
$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
$152.00Insurance Discount
-$15.20Price Negotiated by Insurer
$136.80Deductible 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.
CBC WITH DIFF
$72.00COMPREHENSIVE METABOLIC PANEL
$178.20lactase 3000 units Tab [VDMC]
$1.25LEVEL 4
$639.90Sodium Chloride 0.9% IV Sol 1000 mL [VDMC]
$60.12VENIPUNCTURE
$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
$152.00Insurance Discount
-$62.32Price Negotiated by Insurer
$89.68Deductible 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
$116.82lactase 3000 units Tab [VDMC]
$0.82LEVEL 4
$419.49Sodium Chloride 0.9% IV Sol 1000 mL [VDMC]
$39.41VENIPUNCTURE
$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
$152.00Price Negotiated by Insurer
$553.66Deductible 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
$52.08VENIPUNCTURE
$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
$152.00Price Negotiated by Insurer
$609.03Deductible 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
$57.29VENIPUNCTURE
$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.