CPT J1940
The standard charge for Injection, furosemide, up to 20 mg is $23.68. 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
$23.68Insurance Discount
-$2.37Price Negotiated by Insurer
$21.31Deductible 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 IVP TX
$97.20CBC WITH DIFF
$72.00COMPREHENSIVE METABOLIC PANEL
$178.20EKG SUBSQ DIFF DR
$144.90lactase 3000 units Tab [VDMC]
$1.25N-Terminal pro Brain Natriuretic Peptide
$207.90VENIPUNCTURE
$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
$23.68Insurance Discount
-$2.37Price Negotiated by Insurer
$21.31Deductible 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 IVP TX
$97.20CBC WITH DIFF
$72.00COMPREHENSIVE METABOLIC PANEL
$178.20EKG SUBSQ DIFF DR
$144.90lactase 3000 units Tab [VDMC]
$1.25N-Terminal pro Brain Natriuretic Peptide
$207.90VENIPUNCTURE
$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
$23.68Insurance Discount
-$10.18Price Negotiated by Insurer
$13.50Deductible 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.
ADM IVP TX
$61.56CBC WITH DIFF
$45.60COMPREHENSIVE METABOLIC PANEL
$112.86EKG SUBSQ DIFF DR
$91.77lactase 3000 units Tab [VDMC]
$0.79N-Terminal pro Brain Natriuretic Peptide
$131.67VENIPUNCTURE
$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
$23.68Insurance Discount
-$11.73Price Negotiated by Insurer
$11.95Deductible 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 IVP TX
$54.51CBC WITH DIFF
$40.38COMPREHENSIVE METABOLIC PANEL
$99.93EKG SUBSQ DIFF DR
$81.26lactase 3000 units Tab [VDMC]
$0.70N-Terminal pro Brain Natriuretic Peptide
$116.59VENIPUNCTURE
$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
$23.68Insurance Discount
-$11.72Price Negotiated by Insurer
$11.96Deductible 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 IVP TX
$54.54CBC WITH DIFF
$40.40COMPREHENSIVE METABOLIC PANEL
$99.99EKG SUBSQ DIFF DR
$81.30lactase 3000 units Tab [VDMC]
$0.70N-Terminal pro Brain Natriuretic Peptide
$116.66VENIPUNCTURE
$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
$23.68Insurance Discount
-$4.74Price Negotiated by Insurer
$18.94Deductible 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 IVP TX
$86.40CBC WITH DIFF
$64.00COMPREHENSIVE METABOLIC PANEL
$158.40EKG SUBSQ DIFF DR
$128.80lactase 3000 units Tab [VDMC]
$1.11N-Terminal pro Brain Natriuretic Peptide
$184.80VENIPUNCTURE
$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
$23.68Insurance Discount
-$5.92Price Negotiated by Insurer
$17.76Deductible 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.
ADM IVP TX
$81.00CBC WITH DIFF
$60.00COMPREHENSIVE METABOLIC PANEL
$148.50EKG SUBSQ DIFF DR
$120.75lactase 3000 units Tab [VDMC]
$1.04N-Terminal pro Brain Natriuretic Peptide
$173.25VENIPUNCTURE
$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
$23.68Insurance Discount
-$11.84Price Negotiated by Insurer
$11.84Deductible 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.
ADM IVP TX
$54.00CBC WITH DIFF
$40.00COMPREHENSIVE METABOLIC PANEL
$99.00EKG SUBSQ DIFF DR
$80.50lactase 3000 units Tab [VDMC]
$0.70N-Terminal pro Brain Natriuretic Peptide
$115.50VENIPUNCTURE
$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
$23.68Insurance Discount
-$11.84Price Negotiated by Insurer
$11.84Deductible 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.
ADM IVP TX
$53.98CBC WITH DIFF
$39.98COMPREHENSIVE METABOLIC PANEL
$98.96EKG SUBSQ DIFF DR
$80.47lactase 3000 units Tab [VDMC]
$0.69N-Terminal pro Brain Natriuretic Peptide
$115.45VENIPUNCTURE
$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
$23.68Insurance Discount
-$5.92Price Negotiated by Insurer
$17.76Deductible 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.
ADM IVP TX
$81.00CBC WITH DIFF
$60.00COMPREHENSIVE METABOLIC PANEL
$148.50EKG SUBSQ DIFF DR
$120.75lactase 3000 units Tab [VDMC]
$1.04N-Terminal pro Brain Natriuretic Peptide
$173.25VENIPUNCTURE
$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
$23.68Insurance Discount
-$11.84Price Negotiated by Insurer
$11.84Deductible 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.
ADM IVP TX
$54.00CBC WITH DIFF
$40.00COMPREHENSIVE METABOLIC PANEL
$99.00EKG SUBSQ DIFF DR
$80.50lactase 3000 units Tab [VDMC]
$0.70N-Terminal pro Brain Natriuretic Peptide
$115.50VENIPUNCTURE
$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
$23.68Insurance Discount
-$7.10Price Negotiated by Insurer
$16.58Deductible 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 IVP TX
$75.60CBC WITH DIFF
$56.00COMPREHENSIVE METABOLIC PANEL
$138.60EKG SUBSQ DIFF DR
$112.70lactase 3000 units Tab [VDMC]
$0.97N-Terminal pro Brain Natriuretic Peptide
$161.70VENIPUNCTURE
$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
$23.68Insurance Discount
-$11.66Price Negotiated by Insurer
$12.02Deductible 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 IVP TX
$54.81CBC WITH DIFF
$40.60COMPREHENSIVE METABOLIC PANEL
$100.48EKG SUBSQ DIFF DR
$81.71lactase 3000 units Tab [VDMC]
$0.71N-Terminal pro Brain Natriuretic Peptide
$117.23VENIPUNCTURE
$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
$23.68Insurance Discount
-$11.67Price Negotiated by Insurer
$12.01Deductible 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 IVP TX
$54.78CBC WITH DIFF
$40.58COMPREHENSIVE METABOLIC PANEL
$100.43EKG SUBSQ DIFF DR
$81.66lactase 3000 units Tab [VDMC]
$0.71N-Terminal pro Brain Natriuretic Peptide
$117.16VENIPUNCTURE
$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
$23.68Insurance Discount
-$5.92Price Negotiated by Insurer
$17.76Deductible 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.
ADM IVP TX
$81.00CBC WITH DIFF
$60.00COMPREHENSIVE METABOLIC PANEL
$148.50EKG SUBSQ DIFF DR
$120.75lactase 3000 units Tab [VDMC]
$1.04N-Terminal pro Brain Natriuretic Peptide
$173.25VENIPUNCTURE
$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
$23.68Insurance Discount
-$5.92Price Negotiated by Insurer
$17.76Deductible 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.
ADM IVP TX
$81.00CBC WITH DIFF
$60.00COMPREHENSIVE METABOLIC PANEL
$148.50EKG SUBSQ DIFF DR
$120.75lactase 3000 units Tab [VDMC]
$1.04N-Terminal pro Brain Natriuretic Peptide
$173.25VENIPUNCTURE
$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
$23.68Insurance Discount
-$2.37Price Negotiated by Insurer
$21.31Deductible 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 IVP TX
$97.20CBC WITH DIFF
$72.00COMPREHENSIVE METABOLIC PANEL
$178.20EKG SUBSQ DIFF DR
$144.90lactase 3000 units Tab [VDMC]
$1.25N-Terminal pro Brain Natriuretic Peptide
$207.90VENIPUNCTURE
$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
$23.68Insurance Discount
-$9.71Price Negotiated by Insurer
$13.97Deductible 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.
ADM IVP TX
$63.72CBC WITH DIFF
$47.20COMPREHENSIVE METABOLIC PANEL
$116.82EKG SUBSQ DIFF DR
$94.99lactase 3000 units Tab [VDMC]
$0.82N-Terminal pro Brain Natriuretic Peptide
$136.29VENIPUNCTURE
$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.