CPT J1815
The standard charge for Injection, insulin, per 5 units is $31.51. 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
$31.51Insurance Discount
-$3.15Price Negotiated by Insurer
$28.36Deductible 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.
ADM IM SCHEDULED ADDITIONAL
$59.40Bill Venipuncture
$18.90CBC WITH DIFF
$72.00COMPREHENSIVE METABOLIC PANEL
$178.20GLUCOSE (ACCUCHECK) -POC
$23.40INF TX HYDR SCHED EA ADDL HR
$136.80zonisamide 50 mg Cap [VDMC]
$1.30This 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
$31.51Insurance Discount
-$3.15Price Negotiated by Insurer
$28.36Deductible 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.
ADM IM SCHEDULED ADDITIONAL
$59.40Bill Venipuncture
$18.90CBC WITH DIFF
$72.00COMPREHENSIVE METABOLIC PANEL
$178.20GLUCOSE (ACCUCHECK) -POC
$23.40INF TX HYDR SCHED EA ADDL HR
$136.80zonisamide 50 mg Cap [VDMC]
$1.30This 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
$31.51Insurance Discount
-$13.55Price Negotiated by Insurer
$17.96Deductible 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.
ADM IM SCHEDULED ADDITIONAL
$37.62Bill Venipuncture
$11.97CBC WITH DIFF
$45.60COMPREHENSIVE METABOLIC PANEL
$112.86GLUCOSE (ACCUCHECK) -POC
$14.82INF TX HYDR SCHED EA ADDL HR
$86.64zonisamide 50 mg Cap [VDMC]
$0.83This 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
$31.51Insurance Discount
-$13.33Price Negotiated by Insurer
$18.18Deductible 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.
ADM IM SCHEDULED ADDITIONAL
$38.07Bill Venipuncture
$12.11CBC WITH DIFF
$46.14COMPREHENSIVE METABOLIC PANEL
$114.21GLUCOSE (ACCUCHECK) -POC
$15.00INF TX HYDR SCHED EA ADDL HR
$87.67zonisamide 50 mg Cap [VDMC]
$0.84This 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
$31.51Insurance Discount
-$17.19Price Negotiated by Insurer
$14.32Deductible Applied
-Copay
-Coinsurance
-Your insurance company will pay
-You will owe (Estimate)
Some services may incur additional charges based on the exact care required. Listed below are commonly associated charges with this service and the rate negotiated by your insurance plan. These charges are listed to give you an idea of what types of other services are often required, but not all patients will require these specific services.
ADM IM SCHEDULED ADDITIONAL
$30.00Bill Venipuncture
$9.54CBC WITH DIFF
$36.36COMPREHENSIVE METABOLIC PANEL
$89.99GLUCOSE (ACCUCHECK) -POC
$11.82INF TX HYDR SCHED EA ADDL HR
$69.08zonisamide 50 mg Cap [VDMC]
$0.66This 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
$31.51Insurance Discount
-$6.30Price Negotiated by Insurer
$25.21Deductible 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.
ADM IM SCHEDULED ADDITIONAL
$52.80Bill Venipuncture
$16.80CBC WITH DIFF
$64.00COMPREHENSIVE METABOLIC PANEL
$158.40GLUCOSE (ACCUCHECK) -POC
$20.80INF TX HYDR SCHED EA ADDL HR
$121.60zonisamide 50 mg Cap [VDMC]
$1.16This 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
$31.51Insurance Discount
-$7.88Price Negotiated by Insurer
$23.63Deductible 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.
ADM IM SCHEDULED ADDITIONAL
$49.50Bill Venipuncture
$15.75CBC WITH DIFF
$60.00COMPREHENSIVE METABOLIC PANEL
$148.50GLUCOSE (ACCUCHECK) -POC
$19.50INF TX HYDR SCHED EA ADDL HR
$114.00zonisamide 50 mg Cap [VDMC]
$1.09This 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
$31.51Insurance Discount
-$17.33Price Negotiated by Insurer
$14.18Deductible 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.
ADM IM SCHEDULED ADDITIONAL
$29.70Bill Venipuncture
$9.45CBC WITH DIFF
$36.00COMPREHENSIVE METABOLIC PANEL
$89.10GLUCOSE (ACCUCHECK) -POC
$11.70INF TX HYDR SCHED EA ADDL HR
$68.40zonisamide 50 mg Cap [VDMC]
$0.65This 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
$31.51Insurance Discount
-$13.51Price Negotiated by Insurer
$18.00Deductible 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.
ADM IM SCHEDULED ADDITIONAL
$37.70Bill Venipuncture
$12.00CBC WITH DIFF
$45.70COMPREHENSIVE METABOLIC PANEL
$113.10GLUCOSE (ACCUCHECK) -POC
$14.85INF TX HYDR SCHED EA ADDL HR
$86.82zonisamide 50 mg Cap [VDMC]
$0.83This 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
$31.51Insurance Discount
-$7.88Price Negotiated by Insurer
$23.63Deductible 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.
ADM IM SCHEDULED ADDITIONAL
$49.50Bill Venipuncture
$15.75CBC WITH DIFF
$60.00COMPREHENSIVE METABOLIC PANEL
$148.50GLUCOSE (ACCUCHECK) -POC
$19.50INF TX HYDR SCHED EA ADDL HR
$114.00zonisamide 50 mg Cap [VDMC]
$1.09This 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
$31.51Insurance Discount
-$17.33Price Negotiated by Insurer
$14.18Deductible 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.
ADM IM SCHEDULED ADDITIONAL
$29.70Bill Venipuncture
$9.45CBC WITH DIFF
$36.00COMPREHENSIVE METABOLIC PANEL
$89.10GLUCOSE (ACCUCHECK) -POC
$11.70INF TX HYDR SCHED EA ADDL HR
$68.40zonisamide 50 mg Cap [VDMC]
$0.65This 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
$31.51Insurance Discount
-$9.45Price Negotiated by Insurer
$22.06Deductible Applied
-Copay
-Coinsurance
-Your insurance company will pay
-You will owe (Estimate)
Some services may incur additional charges based on the exact care required. Listed below are commonly associated charges with this service and the rate negotiated by your insurance plan. These charges are listed to give you an idea of what types of other services are often required, but not all patients will require these specific services.
ADM IM SCHEDULED ADDITIONAL
$46.20Bill Venipuncture
$14.70CBC WITH DIFF
$56.00COMPREHENSIVE METABOLIC PANEL
$138.60GLUCOSE (ACCUCHECK) -POC
$18.20INF TX HYDR SCHED EA ADDL HR
$106.40zonisamide 50 mg Cap [VDMC]
$1.02This 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
$31.51Insurance Discount
-$13.25Price Negotiated by Insurer
$18.26Deductible 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.
ADM IM SCHEDULED ADDITIONAL
$38.25Bill Venipuncture
$12.17CBC WITH DIFF
$46.37COMPREHENSIVE METABOLIC PANEL
$114.76GLUCOSE (ACCUCHECK) -POC
$15.07INF TX HYDR SCHED EA ADDL HR
$88.10zonisamide 50 mg Cap [VDMC]
$0.84This 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
$31.51Insurance Discount
-$15.20Price Negotiated by Insurer
$16.31Deductible 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.
ADM IM SCHEDULED ADDITIONAL
$34.16Bill Venipuncture
$10.87CBC WITH DIFF
$41.40COMPREHENSIVE METABOLIC PANEL
$102.46GLUCOSE (ACCUCHECK) -POC
$13.46INF TX HYDR SCHED EA ADDL HR
$78.66zonisamide 50 mg Cap [VDMC]
$0.75This 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
$31.51Insurance Discount
-$3.15Price Negotiated by Insurer
$28.36Deductible 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.
ADM IM SCHEDULED ADDITIONAL
$59.40Bill Venipuncture
$18.90CBC WITH DIFF
$72.00COMPREHENSIVE METABOLIC PANEL
$178.20GLUCOSE (ACCUCHECK) -POC
$23.40INF TX HYDR SCHED EA ADDL HR
$136.80zonisamide 50 mg Cap [VDMC]
$1.30This 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
$31.51Insurance Discount
-$12.92Price Negotiated by Insurer
$18.59Deductible 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.
ADM IM SCHEDULED ADDITIONAL
$38.94Bill Venipuncture
$12.39CBC WITH DIFF
$47.20COMPREHENSIVE METABOLIC PANEL
$116.82GLUCOSE (ACCUCHECK) -POC
$15.34INF TX HYDR SCHED EA ADDL HR
$89.68zonisamide 50 mg Cap [VDMC]
$0.86This 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
$31.51Price Negotiated by Insurer
$201.36Deductible 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.
ADM IM SCHEDULED ADDITIONAL
$37.58Bill Venipuncture
$12.05CBC WITH DIFF
$29.07COMPREHENSIVE METABOLIC PANEL
$60.97GLUCOSE (ACCUCHECK) -POC
$30.49INF TX HYDR SCHED EA ADDL HR
$626.76This 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
$31.51Price Negotiated by Insurer
$221.80Deductible 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.
ADM IM SCHEDULED ADDITIONAL
$41.39Bill Venipuncture
$13.28CBC WITH DIFF
$32.02COMPREHENSIVE METABOLIC PANEL
$67.17GLUCOSE (ACCUCHECK) -POC
$33.58INF TX HYDR SCHED EA ADDL HR
$690.40This 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.