CPT C1713
The standard charge for Anchor/screw for opposing bone-to-bone or soft tissue-to-bone (implantable) is $12.00. 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
$12.00Insurance Discount
-$1.20Price Negotiated by Insurer
$10.80Deductible 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.
acetaminophen 10 mg/mL 100 ml vial SDV [VDMC]
$31.30ceFAZolin 500 mg SDV Inj [VDMC]
$20.98dexamethasone 4 mg/mL 5 ml MDV inj [VDMC]
$20.84Fentanyl PCA 250mcg/25mL [VDMC]
$39.60ketorolac 60 mg/mL 2 ml SDV inj [VDMC]
$20.84Lactated Ringers IV Sol 500 mL [VDMC]
$67.07lidocaine in D5W 2000 mg sol 4 mg/ml 500ml [VDMC]
$57.02meningococcal group B vaccine recombinant, OMV, adjuvanted Sus 0.5ml SDS [VDMC]
$299.52midazolam 1 mg/mL MDV 5 ML vial [VDMC]
$39.25ondansetron 2 mg/mL 2 ML Inj SDV [VDMC]
$18.86propofol 10 mg/mL 50 ml SDV IV Emul [VDMC]
$36.94XR Foot Complete Right
$131.40This 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.
Total estimated charges
$12.00Insurance Discount
-$1.20Price Negotiated by Insurer
$10.80Deductible 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.
acetaminophen 10 mg/mL 100 ml vial SDV [VDMC]
$31.30ceFAZolin 500 mg SDV Inj [VDMC]
$20.98dexamethasone 4 mg/mL 5 ml MDV inj [VDMC]
$20.84Fentanyl PCA 250mcg/25mL [VDMC]
$39.60ketorolac 60 mg/mL 2 ml SDV inj [VDMC]
$20.84Lactated Ringers IV Sol 500 mL [VDMC]
$67.07lidocaine in D5W 2000 mg sol 4 mg/ml 500ml [VDMC]
$57.02meningococcal group B vaccine recombinant, OMV, adjuvanted Sus 0.5ml SDS [VDMC]
$299.52midazolam 1 mg/mL MDV 5 ML vial [VDMC]
$39.25ondansetron 2 mg/mL 2 ML Inj SDV [VDMC]
$18.86propofol 10 mg/mL 50 ml SDV IV Emul [VDMC]
$36.94XR Foot Complete Right
$131.40This 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.
Total estimated charges
$12.00Insurance Discount
-$5.16Price Negotiated by Insurer
$6.84Deductible 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.
acetaminophen 10 mg/mL 100 ml vial SDV [VDMC]
$19.82ceFAZolin 500 mg SDV Inj [VDMC]
$13.29dexamethasone 4 mg/mL 5 ml MDV inj [VDMC]
$13.20Fentanyl PCA 250mcg/25mL [VDMC]
$25.08ketorolac 60 mg/mL 2 ml SDV inj [VDMC]
$13.20Lactated Ringers IV Sol 500 mL [VDMC]
$42.48lidocaine in D5W 2000 mg sol 4 mg/ml 500ml [VDMC]
$36.12meningococcal group B vaccine recombinant, OMV, adjuvanted Sus 0.5ml SDS [VDMC]
$189.70midazolam 1 mg/mL MDV 5 ML vial [VDMC]
$24.86ondansetron 2 mg/mL 2 ML Inj SDV [VDMC]
$11.95propofol 10 mg/mL 50 ml SDV IV Emul [VDMC]
$23.40XR Foot Complete Right
$83.22This 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
$12.00Insurance Discount
-$5.94Price Negotiated by Insurer
$6.06Deductible 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.
acetaminophen 10 mg/mL 100 ml vial SDV [VDMC]
$17.55ceFAZolin 500 mg SDV Inj [VDMC]
$11.76dexamethasone 4 mg/mL 5 ml MDV inj [VDMC]
$11.69Fentanyl PCA 250mcg/25mL [VDMC]
$22.21ketorolac 60 mg/mL 2 ml SDV inj [VDMC]
$11.68Lactated Ringers IV Sol 500 mL [VDMC]
$37.61lidocaine in D5W 2000 mg sol 4 mg/ml 500ml [VDMC]
$31.98meningococcal group B vaccine recombinant, OMV, adjuvanted Sus 0.5ml SDS [VDMC]
$167.96midazolam 1 mg/mL MDV 5 ML vial [VDMC]
$22.01ondansetron 2 mg/mL 2 ML Inj SDV [VDMC]
$10.58propofol 10 mg/mL 50 ml SDV IV Emul [VDMC]
$20.72XR Foot Complete Right
$73.69This 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.
Total estimated charges
$12.00Insurance Discount
-$5.94Price Negotiated by Insurer
$6.06Deductible 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.
acetaminophen 10 mg/mL 100 ml vial SDV [VDMC]
$17.56ceFAZolin 500 mg SDV Inj [VDMC]
$11.77dexamethasone 4 mg/mL 5 ml MDV inj [VDMC]
$11.70Fentanyl PCA 250mcg/25mL [VDMC]
$22.22ketorolac 60 mg/mL 2 ml SDV inj [VDMC]
$11.69Lactated Ringers IV Sol 500 mL [VDMC]
$37.63lidocaine in D5W 2000 mg sol 4 mg/ml 500ml [VDMC]
$32.00meningococcal group B vaccine recombinant, OMV, adjuvanted Sus 0.5ml SDS [VDMC]
$168.06midazolam 1 mg/mL MDV 5 ML vial [VDMC]
$22.02ondansetron 2 mg/mL 2 ML Inj SDV [VDMC]
$10.58propofol 10 mg/mL 50 ml SDV IV Emul [VDMC]
$20.73XR Foot Complete Right
$73.73This 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
$12.00Insurance Discount
-$2.40Price Negotiated by Insurer
$9.60Deductible 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.
acetaminophen 10 mg/mL 100 ml vial SDV [VDMC]
$27.83ceFAZolin 500 mg SDV Inj [VDMC]
$18.65dexamethasone 4 mg/mL 5 ml MDV inj [VDMC]
$18.53Fentanyl PCA 250mcg/25mL [VDMC]
$35.20ketorolac 60 mg/mL 2 ml SDV inj [VDMC]
$18.52Lactated Ringers IV Sol 500 mL [VDMC]
$59.62lidocaine in D5W 2000 mg sol 4 mg/ml 500ml [VDMC]
$50.69meningococcal group B vaccine recombinant, OMV, adjuvanted Sus 0.5ml SDS [VDMC]
$266.24midazolam 1 mg/mL MDV 5 ML vial [VDMC]
$34.89ondansetron 2 mg/mL 2 ML Inj SDV [VDMC]
$16.77propofol 10 mg/mL 50 ml SDV IV Emul [VDMC]
$32.84XR Foot Complete Right
$116.80This 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
$12.00Insurance Discount
-$3.00Price Negotiated by Insurer
$9.00Deductible 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.
acetaminophen 10 mg/mL 100 ml vial SDV [VDMC]
$26.08ceFAZolin 500 mg SDV Inj [VDMC]
$17.48dexamethasone 4 mg/mL 5 ml MDV inj [VDMC]
$17.37Fentanyl PCA 250mcg/25mL [VDMC]
$33.00ketorolac 60 mg/mL 2 ml SDV inj [VDMC]
$17.36Lactated Ringers IV Sol 500 mL [VDMC]
$55.89lidocaine in D5W 2000 mg sol 4 mg/ml 500ml [VDMC]
$47.52meningococcal group B vaccine recombinant, OMV, adjuvanted Sus 0.5ml SDS [VDMC]
$249.60midazolam 1 mg/mL MDV 5 ML vial [VDMC]
$32.71ondansetron 2 mg/mL 2 ML Inj SDV [VDMC]
$15.72propofol 10 mg/mL 50 ml SDV IV Emul [VDMC]
$30.79XR Foot Complete Right
$109.50This 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
$12.00Insurance Discount
-$6.00Price Negotiated by Insurer
$6.00Deductible 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.
acetaminophen 10 mg/mL 100 ml vial SDV [VDMC]
$17.39ceFAZolin 500 mg SDV Inj [VDMC]
$11.66dexamethasone 4 mg/mL 5 ml MDV inj [VDMC]
$11.58Fentanyl PCA 250mcg/25mL [VDMC]
$22.00ketorolac 60 mg/mL 2 ml SDV inj [VDMC]
$11.58Lactated Ringers IV Sol 500 mL [VDMC]
$37.26lidocaine in D5W 2000 mg sol 4 mg/ml 500ml [VDMC]
$31.68meningococcal group B vaccine recombinant, OMV, adjuvanted Sus 0.5ml SDS [VDMC]
$166.40midazolam 1 mg/mL MDV 5 ML vial [VDMC]
$21.80ondansetron 2 mg/mL 2 ML Inj SDV [VDMC]
$10.48propofol 10 mg/mL 50 ml SDV IV Emul [VDMC]
$20.52XR Foot Complete Right
$73.00This 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
$12.00Insurance Discount
-$6.00Price Negotiated by Insurer
$6.00Deductible 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.
acetaminophen 10 mg/mL 100 ml vial SDV [VDMC]
$17.38ceFAZolin 500 mg SDV Inj [VDMC]
$11.65dexamethasone 4 mg/mL 5 ml MDV inj [VDMC]
$11.58Fentanyl PCA 250mcg/25mL [VDMC]
$21.99ketorolac 60 mg/mL 2 ml SDV inj [VDMC]
$11.57Lactated Ringers IV Sol 500 mL [VDMC]
$37.25lidocaine in D5W 2000 mg sol 4 mg/ml 500ml [VDMC]
$31.67meningococcal group B vaccine recombinant, OMV, adjuvanted Sus 0.5ml SDS [VDMC]
$166.33midazolam 1 mg/mL MDV 5 ML vial [VDMC]
$21.80ondansetron 2 mg/mL 2 ML Inj SDV [VDMC]
$10.48propofol 10 mg/mL 50 ml SDV IV Emul [VDMC]
$20.52XR Foot Complete Right
$72.97This 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
$12.00Insurance Discount
-$3.00Price Negotiated by Insurer
$9.00Deductible 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.
acetaminophen 10 mg/mL 100 ml vial SDV [VDMC]
$26.08ceFAZolin 500 mg SDV Inj [VDMC]
$17.48dexamethasone 4 mg/mL 5 ml MDV inj [VDMC]
$17.37Fentanyl PCA 250mcg/25mL [VDMC]
$33.00ketorolac 60 mg/mL 2 ml SDV inj [VDMC]
$17.36Lactated Ringers IV Sol 500 mL [VDMC]
$55.89lidocaine in D5W 2000 mg sol 4 mg/ml 500ml [VDMC]
$47.52meningococcal group B vaccine recombinant, OMV, adjuvanted Sus 0.5ml SDS [VDMC]
$249.60midazolam 1 mg/mL MDV 5 ML vial [VDMC]
$32.71ondansetron 2 mg/mL 2 ML Inj SDV [VDMC]
$15.72propofol 10 mg/mL 50 ml SDV IV Emul [VDMC]
$30.79XR Foot Complete Right
$109.50This 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
$12.00Insurance Discount
-$6.00Price Negotiated by Insurer
$6.00Deductible 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.
acetaminophen 10 mg/mL 100 ml vial SDV [VDMC]
$17.39ceFAZolin 500 mg SDV Inj [VDMC]
$11.66dexamethasone 4 mg/mL 5 ml MDV inj [VDMC]
$11.58Fentanyl PCA 250mcg/25mL [VDMC]
$22.00ketorolac 60 mg/mL 2 ml SDV inj [VDMC]
$11.58Lactated Ringers IV Sol 500 mL [VDMC]
$37.26lidocaine in D5W 2000 mg sol 4 mg/ml 500ml [VDMC]
$31.68meningococcal group B vaccine recombinant, OMV, adjuvanted Sus 0.5ml SDS [VDMC]
$166.40midazolam 1 mg/mL MDV 5 ML vial [VDMC]
$21.80ondansetron 2 mg/mL 2 ML Inj SDV [VDMC]
$10.48propofol 10 mg/mL 50 ml SDV IV Emul [VDMC]
$20.52XR Foot Complete Right
$73.00This 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
$12.00Insurance Discount
-$3.60Price Negotiated by Insurer
$8.40Deductible 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.
acetaminophen 10 mg/mL 100 ml vial SDV [VDMC]
$24.35ceFAZolin 500 mg SDV Inj [VDMC]
$16.32dexamethasone 4 mg/mL 5 ml MDV inj [VDMC]
$16.21Fentanyl PCA 250mcg/25mL [VDMC]
$30.80ketorolac 60 mg/mL 2 ml SDV inj [VDMC]
$16.20Lactated Ringers IV Sol 500 mL [VDMC]
$52.16lidocaine in D5W 2000 mg sol 4 mg/ml 500ml [VDMC]
$44.35meningococcal group B vaccine recombinant, OMV, adjuvanted Sus 0.5ml SDS [VDMC]
$232.96midazolam 1 mg/mL MDV 5 ML vial [VDMC]
$30.53ondansetron 2 mg/mL 2 ML Inj SDV [VDMC]
$14.67propofol 10 mg/mL 50 ml SDV IV Emul [VDMC]
$28.74XR Foot Complete Right
$102.20This 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
$12.00Insurance Discount
-$5.91Price Negotiated by Insurer
$6.09Deductible 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.
acetaminophen 10 mg/mL 100 ml vial SDV [VDMC]
$17.65ceFAZolin 500 mg SDV Inj [VDMC]
$11.83dexamethasone 4 mg/mL 5 ml MDV inj [VDMC]
$11.75Fentanyl PCA 250mcg/25mL [VDMC]
$22.33ketorolac 60 mg/mL 2 ml SDV inj [VDMC]
$11.75Lactated Ringers IV Sol 500 mL [VDMC]
$37.82lidocaine in D5W 2000 mg sol 4 mg/ml 500ml [VDMC]
$32.16meningococcal group B vaccine recombinant, OMV, adjuvanted Sus 0.5ml SDS [VDMC]
$168.90midazolam 1 mg/mL MDV 5 ML vial [VDMC]
$22.13ondansetron 2 mg/mL 2 ML Inj SDV [VDMC]
$10.64propofol 10 mg/mL 50 ml SDV IV Emul [VDMC]
$20.83XR Foot Complete Right
$74.10This 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
$12.00Insurance Discount
-$5.91Price Negotiated by Insurer
$6.09Deductible 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.
acetaminophen 10 mg/mL 100 ml vial SDV [VDMC]
$17.64ceFAZolin 500 mg SDV Inj [VDMC]
$11.82dexamethasone 4 mg/mL 5 ml MDV inj [VDMC]
$11.75Fentanyl PCA 250mcg/25mL [VDMC]
$22.32ketorolac 60 mg/mL 2 ml SDV inj [VDMC]
$11.74Lactated Ringers IV Sol 500 mL [VDMC]
$37.80lidocaine in D5W 2000 mg sol 4 mg/ml 500ml [VDMC]
$32.14meningococcal group B vaccine recombinant, OMV, adjuvanted Sus 0.5ml SDS [VDMC]
$168.80midazolam 1 mg/mL MDV 5 ML vial [VDMC]
$22.12ondansetron 2 mg/mL 2 ML Inj SDV [VDMC]
$10.63propofol 10 mg/mL 50 ml SDV IV Emul [VDMC]
$20.82XR Foot Complete Right
$74.05This 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
$12.00Insurance Discount
-$3.00Price Negotiated by Insurer
$9.00Deductible 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.
acetaminophen 10 mg/mL 100 ml vial SDV [VDMC]
$26.08ceFAZolin 500 mg SDV Inj [VDMC]
$17.48dexamethasone 4 mg/mL 5 ml MDV inj [VDMC]
$17.37Fentanyl PCA 250mcg/25mL [VDMC]
$33.00ketorolac 60 mg/mL 2 ml SDV inj [VDMC]
$17.36Lactated Ringers IV Sol 500 mL [VDMC]
$55.89lidocaine in D5W 2000 mg sol 4 mg/ml 500ml [VDMC]
$47.52meningococcal group B vaccine recombinant, OMV, adjuvanted Sus 0.5ml SDS [VDMC]
$249.60midazolam 1 mg/mL MDV 5 ML vial [VDMC]
$32.71ondansetron 2 mg/mL 2 ML Inj SDV [VDMC]
$15.72propofol 10 mg/mL 50 ml SDV IV Emul [VDMC]
$30.79XR Foot Complete Right
$109.50This 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
$12.00Insurance Discount
-$3.00Price Negotiated by Insurer
$9.00Deductible 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.
acetaminophen 10 mg/mL 100 ml vial SDV [VDMC]
$26.08ceFAZolin 500 mg SDV Inj [VDMC]
$17.48dexamethasone 4 mg/mL 5 ml MDV inj [VDMC]
$17.37Fentanyl PCA 250mcg/25mL [VDMC]
$33.00ketorolac 60 mg/mL 2 ml SDV inj [VDMC]
$17.36Lactated Ringers IV Sol 500 mL [VDMC]
$55.89lidocaine in D5W 2000 mg sol 4 mg/ml 500ml [VDMC]
$47.52meningococcal group B vaccine recombinant, OMV, adjuvanted Sus 0.5ml SDS [VDMC]
$249.60midazolam 1 mg/mL MDV 5 ML vial [VDMC]
$32.71ondansetron 2 mg/mL 2 ML Inj SDV [VDMC]
$15.72propofol 10 mg/mL 50 ml SDV IV Emul [VDMC]
$30.79XR Foot Complete Right
$109.50This 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
$12.00Insurance Discount
-$1.20Price Negotiated by Insurer
$10.80Deductible 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.
acetaminophen 10 mg/mL 100 ml vial SDV [VDMC]
$31.30ceFAZolin 500 mg SDV Inj [VDMC]
$20.98dexamethasone 4 mg/mL 5 ml MDV inj [VDMC]
$20.84Fentanyl PCA 250mcg/25mL [VDMC]
$39.60ketorolac 60 mg/mL 2 ml SDV inj [VDMC]
$20.84Lactated Ringers IV Sol 500 mL [VDMC]
$67.07lidocaine in D5W 2000 mg sol 4 mg/ml 500ml [VDMC]
$57.02meningococcal group B vaccine recombinant, OMV, adjuvanted Sus 0.5ml SDS [VDMC]
$299.52midazolam 1 mg/mL MDV 5 ML vial [VDMC]
$39.25ondansetron 2 mg/mL 2 ML Inj SDV [VDMC]
$18.86propofol 10 mg/mL 50 ml SDV IV Emul [VDMC]
$36.94XR Foot Complete Right
$131.40This 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.
Total estimated charges
$12.00Insurance Discount
-$4.92Price Negotiated by Insurer
$7.08Deductible 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.
acetaminophen 10 mg/mL 100 ml vial SDV [VDMC]
$20.52ceFAZolin 500 mg SDV Inj [VDMC]
$13.75dexamethasone 4 mg/mL 5 ml MDV inj [VDMC]
$13.66Fentanyl PCA 250mcg/25mL [VDMC]
$25.96ketorolac 60 mg/mL 2 ml SDV inj [VDMC]
$13.66Lactated Ringers IV Sol 500 mL [VDMC]
$43.97lidocaine in D5W 2000 mg sol 4 mg/ml 500ml [VDMC]
$37.38meningococcal group B vaccine recombinant, OMV, adjuvanted Sus 0.5ml SDS [VDMC]
$196.35midazolam 1 mg/mL MDV 5 ML vial [VDMC]
$25.73ondansetron 2 mg/mL 2 ML Inj SDV [VDMC]
$12.37propofol 10 mg/mL 50 ml SDV IV Emul [VDMC]
$24.22XR Foot Complete Right
$86.14This 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.