CPT 71045
The standard charge for Radiologic examination, chest; single view is $115.00. 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
$115.00Insurance Discount
-$11.50Price Negotiated by Insurer
$103.50Deductible 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.
Bill Venipuncture
$18.90CBC WITH DIFF
$72.00COMPREHENSIVE METABOLIC PANEL
$178.20EKG SUBSQ DIFF DR
$144.90hsTroponin
$139.50LEVEL 4
$639.90LEVEL 5
$937.80zonisamide 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
$115.00Insurance Discount
-$11.50Price Negotiated by Insurer
$103.50Deductible 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.
Bill Venipuncture
$18.90CBC WITH DIFF
$72.00COMPREHENSIVE METABOLIC PANEL
$178.20EKG SUBSQ DIFF DR
$144.90hsTroponin
$139.50LEVEL 4
$639.90LEVEL 5
$937.80zonisamide 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
$115.00Insurance Discount
-$49.45Price Negotiated by Insurer
$65.55Deductible 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.
Bill Venipuncture
$11.97CBC WITH DIFF
$45.60COMPREHENSIVE METABOLIC PANEL
$112.86EKG SUBSQ DIFF DR
$91.77hsTroponin
$88.35LEVEL 4
$405.27LEVEL 5
$593.94zonisamide 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
$115.00Insurance Discount
-$48.67Price Negotiated by Insurer
$66.33Deductible 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.
Bill Venipuncture
$12.11CBC WITH DIFF
$46.14COMPREHENSIVE METABOLIC PANEL
$114.21EKG SUBSQ DIFF DR
$92.86hsTroponin
$89.40LEVEL 4
$410.10LEVEL 5
$601.03zonisamide 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
$115.00Insurance Discount
-$62.73Price Negotiated by Insurer
$52.27Deductible 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.
Bill Venipuncture
$9.54CBC WITH DIFF
$36.36COMPREHENSIVE METABOLIC PANEL
$89.99EKG SUBSQ DIFF DR
$73.17hsTroponin
$70.45LEVEL 4
$323.15LEVEL 5
$473.59zonisamide 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
$115.00Insurance Discount
-$23.00Price Negotiated by Insurer
$92.00Deductible 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.
Bill Venipuncture
$16.80CBC WITH DIFF
$64.00COMPREHENSIVE METABOLIC PANEL
$158.40EKG SUBSQ DIFF DR
$128.80hsTroponin
$124.00LEVEL 4
$568.80LEVEL 5
$833.60zonisamide 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
$115.00Insurance Discount
-$28.75Price Negotiated by Insurer
$86.25Deductible 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.
Bill Venipuncture
$15.75CBC WITH DIFF
$60.00COMPREHENSIVE METABOLIC PANEL
$148.50EKG SUBSQ DIFF DR
$120.75hsTroponin
$116.25LEVEL 4
$533.25LEVEL 5
$781.50zonisamide 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
$115.00Insurance Discount
-$63.25Price Negotiated by Insurer
$51.75Deductible 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.
Bill Venipuncture
$9.45CBC WITH DIFF
$36.00COMPREHENSIVE METABOLIC PANEL
$89.10EKG SUBSQ DIFF DR
$72.45hsTroponin
$69.75LEVEL 4
$319.95LEVEL 5
$468.90zonisamide 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
$115.00Insurance Discount
-$49.31Price Negotiated by Insurer
$65.69Deductible 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.
Bill Venipuncture
$12.00CBC WITH DIFF
$45.70COMPREHENSIVE METABOLIC PANEL
$113.10EKG SUBSQ DIFF DR
$91.96hsTroponin
$88.54LEVEL 4
$406.12LEVEL 5
$595.19zonisamide 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
$115.00Insurance Discount
-$28.75Price Negotiated by Insurer
$86.25Deductible 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.
Bill Venipuncture
$15.75CBC WITH DIFF
$60.00COMPREHENSIVE METABOLIC PANEL
$148.50EKG SUBSQ DIFF DR
$120.75hsTroponin
$116.25LEVEL 4
$533.25LEVEL 5
$781.50zonisamide 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
$115.00Insurance Discount
-$63.25Price Negotiated by Insurer
$51.75Deductible 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.
Bill Venipuncture
$9.45CBC WITH DIFF
$36.00COMPREHENSIVE METABOLIC PANEL
$89.10EKG SUBSQ DIFF DR
$72.45hsTroponin
$69.75LEVEL 4
$319.95LEVEL 5
$468.90zonisamide 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
$115.00Insurance Discount
-$34.50Price Negotiated by Insurer
$80.50Deductible 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.
Bill Venipuncture
$14.70CBC WITH DIFF
$56.00COMPREHENSIVE METABOLIC PANEL
$138.60EKG SUBSQ DIFF DR
$112.70hsTroponin
$108.50LEVEL 4
$497.70LEVEL 5
$729.40zonisamide 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
$115.00Insurance Discount
-$48.35Price Negotiated by Insurer
$66.65Deductible 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.
Bill Venipuncture
$12.17CBC WITH DIFF
$46.37COMPREHENSIVE METABOLIC PANEL
$114.76EKG SUBSQ DIFF DR
$93.32hsTroponin
$89.84LEVEL 4
$412.10LEVEL 5
$603.94zonisamide 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
$115.00Insurance Discount
-$55.49Price Negotiated by Insurer
$59.51Deductible 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.
Bill Venipuncture
$10.87CBC WITH DIFF
$41.40COMPREHENSIVE METABOLIC PANEL
$102.46EKG SUBSQ DIFF DR
$83.32hsTroponin
$80.21LEVEL 4
$367.94LEVEL 5
$539.24zonisamide 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
$115.00Insurance Discount
-$11.50Price Negotiated by Insurer
$103.50Deductible 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.
Bill Venipuncture
$18.90CBC WITH DIFF
$72.00COMPREHENSIVE METABOLIC PANEL
$178.20EKG SUBSQ DIFF DR
$144.90hsTroponin
$139.50LEVEL 4
$639.90LEVEL 5
$937.80zonisamide 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
$115.00Insurance Discount
-$47.15Price Negotiated by Insurer
$67.85Deductible 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.
Bill Venipuncture
$12.39CBC WITH DIFF
$47.20COMPREHENSIVE METABOLIC PANEL
$116.82EKG SUBSQ DIFF DR
$94.99hsTroponin
$91.45LEVEL 4
$419.49LEVEL 5
$614.78zonisamide 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
$115.00Insurance Discount
-$11.49Price Negotiated by Insurer
$103.51Deductible 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.
Bill Venipuncture
$12.05CBC WITH DIFF
$29.07COMPREHENSIVE METABOLIC PANEL
$60.97EKG SUBSQ DIFF DR
$75.15hsTroponin
$61.68This 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
$115.00Insurance Discount
-$0.97Price Negotiated by Insurer
$114.03Deductible 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.
Bill Venipuncture
$13.28CBC WITH DIFF
$32.02COMPREHENSIVE METABOLIC PANEL
$67.17EKG SUBSQ DIFF DR
$82.79hsTroponin
$67.95This 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.