CPT 29580
The standard charge for Strapping, Unna boot is $353.00. 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
9440 Poppy Drive, Dallas, TX, 75218CONTACT
(214) 324-6100 Visit WebsiteChoose a plan to view the insurance rate estimate.
Total estimated charges
$353.00Insurance Discount
-$158.85Price Negotiated by Insurer
$194.15Deductible 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.
CHED 99283 - Level 3 BCE
$2,050.00SDS Tx Proph Diag Injection SQ or IM 96372 BCE
$154.00XR Ankle Complete 3+ Views Right BCE
$32.57This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to White Rock 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 White Rock Medical Center directly at (214) 324-6100.
Total estimated charges
$353.00Insurance Discount
-$136.85Price Negotiated by Insurer
$216.15Deductible 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.
CHED 99283 - Level 3 BCE
$391.41SDS Tx Proph Diag Injection SQ or IM 96372 BCE
$96.64XR Ankle Complete 3+ Views Right BCE
$124.65This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to White Rock 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 White Rock Medical Center directly at (214) 324-6100.
Total estimated charges
$353.00Insurance Discount
-$321.23Price Negotiated by Insurer
$31.77Deductible 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.
CHED 99283 - Level 3 BCE
$280.00ketorolac 30 mg/mL Inj Soln 1 mL
$11.54SDS Tx Proph Diag Injection SQ or IM 96372 BCE
$25.20XR Ankle Complete 3+ Views Right BCE
$37.09This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to White Rock 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 White Rock Medical Center directly at (214) 324-6100.
Total estimated charges
$353.00Insurance Discount
-$208.90Price Negotiated by Insurer
$144.10Deductible 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.
CHED 99283 - Level 3 BCE
$260.94SDS Tx Proph Diag Injection SQ or IM 96372 BCE
$64.43XR Ankle Complete 3+ Views Right BCE
$83.10This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to White Rock 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 White Rock Medical Center directly at (214) 324-6100.
Total estimated charges
$353.00Insurance Discount
-$208.90Price Negotiated by Insurer
$144.10Deductible 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.
CHED 99283 - Level 3 BCE
$260.94SDS Tx Proph Diag Injection SQ or IM 96372 BCE
$64.43XR Ankle Complete 3+ Views Right BCE
$83.10This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to White Rock 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 White Rock Medical Center directly at (214) 324-6100.
Total estimated charges
$353.00Insurance Discount
-$282.49Price Negotiated by Insurer
$70.51Deductible 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.
CHED 99283 - Level 3 BCE
$388.61ketorolac 30 mg/mL Inj Soln 1 mL
$0.26SDS Tx Proph Diag Injection SQ or IM 96372 BCE
$105.22XR Ankle Complete 3+ Views Right BCE
$131.69This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to White Rock 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 White Rock Medical Center directly at (214) 324-6100.
Total estimated charges
$353.00Insurance Discount
-$268.56Price Negotiated by Insurer
$84.44Deductible 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.
CHED 99283 - Level 3 BCE
$464.55ketorolac 30 mg/mL Inj Soln 1 mL
$0.31SDS Tx Proph Diag Injection SQ or IM 96372 BCE
$125.78XR Ankle Complete 3+ Views Right BCE
$158.02This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to White Rock 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 White Rock Medical Center directly at (214) 324-6100.
Total estimated charges
$353.00Insurance Discount
-$208.90Price Negotiated by Insurer
$144.10Deductible 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.
CHED 99283 - Level 3 BCE
$260.94SDS Tx Proph Diag Injection SQ or IM 96372 BCE
$64.43XR Ankle Complete 3+ Views Right BCE
$83.10This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to White Rock 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 White Rock Medical Center directly at (214) 324-6100.
Total estimated charges
$353.00Insurance Discount
-$246.61Price Negotiated by Insurer
$106.39Deductible 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.
CHED 99283 - Level 3 BCE
$518.15ketorolac 30 mg/mL Inj Soln 1 mL
$0.35SDS Tx Proph Diag Injection SQ or IM 96372 BCE
$140.29XR Ankle Complete 3+ Views Right BCE
$176.38This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to White Rock 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 White Rock Medical Center directly at (214) 324-6100.
Total estimated charges
$353.00Insurance Discount
-$42.36Price Negotiated by Insurer
$310.64Deductible Applied
-Copay
-Coinsurance
-Your insurance company will pay
-You will owe (Estimate)
Some services may incur additional charges based on the exact care required. Listed below are commonly associated charges with this service and the rate negotiated by your insurance plan. These charges are listed to give you an idea of what types of other services are often required, but not all patients will require these specific services.
CHED 99283 - Level 3 BCE
$1,367.52ketorolac 30 mg/mL Inj Soln 1 mL
$87.16SDS Tx Proph Diag Injection SQ or IM 96372 BCE
$246.40XR Ankle Complete 3+ Views Right BCE
$535.04This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to White Rock 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 White Rock Medical Center directly at (214) 324-6100.
Total estimated charges
$353.00Insurance Discount
-$26.56Price Negotiated by Insurer
$326.44Deductible 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.
CHED 99283 - Level 3 BCE
$1,039.11SDS Tx Proph Diag Injection SQ or IM 96372 BCE
$145.94XR Ankle Complete 3+ Views Right BCE
$188.25This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to White Rock 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 White Rock Medical Center directly at (214) 324-6100.
Total estimated charges
$353.00Insurance Discount
-$317.84Price Negotiated by Insurer
$35.16Deductible 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.
SDS Tx Proph Diag Injection SQ or IM 96372 BCE
$11.23XR Ankle Complete 3+ Views Right BCE
$37.09This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to White Rock 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 White Rock Medical Center directly at (214) 324-6100.
Total estimated charges
$353.00Insurance Discount
-$208.90Price Negotiated by Insurer
$144.10Deductible 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.
CHED 99283 - Level 3 BCE
$260.94SDS Tx Proph Diag Injection SQ or IM 96372 BCE
$64.43XR Ankle Complete 3+ Views Right BCE
$83.10This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to White Rock 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 White Rock Medical Center directly at (214) 324-6100.
Total estimated charges
$353.00Insurance Discount
-$208.90Price Negotiated by Insurer
$144.10Deductible 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.
CHED 99283 - Level 3 BCE
$260.94SDS Tx Proph Diag Injection SQ or IM 96372 BCE
$64.43XR Ankle Complete 3+ Views Right BCE
$83.10This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to White Rock 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 White Rock Medical Center directly at (214) 324-6100.
Total estimated charges
$353.00Insurance Discount
-$208.90Price Negotiated by Insurer
$144.10Deductible 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.
CHED 99283 - Level 3 BCE
$260.94SDS Tx Proph Diag Injection SQ or IM 96372 BCE
$64.43XR Ankle Complete 3+ Views Right BCE
$83.10This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to White Rock 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 White Rock Medical Center directly at (214) 324-6100.
Total estimated charges
$353.00Insurance Discount
-$317.84Price Negotiated by Insurer
$35.16Deductible 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.
SDS Tx Proph Diag Injection SQ or IM 96372 BCE
$11.23XR Ankle Complete 3+ Views Right BCE
$37.09This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to White Rock 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 White Rock Medical Center directly at (214) 324-6100.
Total estimated charges
$353.00Insurance Discount
-$208.90Price Negotiated by Insurer
$144.10Deductible 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.
CHED 99283 - Level 3 BCE
$260.94SDS Tx Proph Diag Injection SQ or IM 96372 BCE
$64.43XR Ankle Complete 3+ Views Right BCE
$83.10This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to White Rock 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 White Rock Medical Center directly at (214) 324-6100.
Total estimated charges
$353.00Insurance Discount
-$208.90Price Negotiated by Insurer
$144.10Deductible 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.
CHED 99283 - Level 3 BCE
$260.94SDS Tx Proph Diag Injection SQ or IM 96372 BCE
$64.43XR Ankle Complete 3+ Views Right BCE
$83.10This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to White Rock 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 White Rock Medical Center directly at (214) 324-6100.
Total estimated charges
$353.00Insurance Discount
-$123.55Price Negotiated by Insurer
$229.45Deductible 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.
CHED 99283 - Level 3 BCE
$1,010.10ketorolac 30 mg/mL Inj Soln 1 mL
$83.31SDS Tx Proph Diag Injection SQ or IM 96372 BCE
$182.00XR Ankle Complete 3+ Views Right BCE
$395.20This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to White Rock 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 White Rock Medical Center directly at (214) 324-6100.
Total estimated charges
$353.00Insurance Discount
-$123.55Price Negotiated by Insurer
$229.45Deductible 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.
CHED 99283 - Level 3 BCE
$1,010.10ketorolac 30 mg/mL Inj Soln 1 mL
$83.31SDS Tx Proph Diag Injection SQ or IM 96372 BCE
$182.00XR Ankle Complete 3+ Views Right BCE
$395.20This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to White Rock 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 White Rock Medical Center directly at (214) 324-6100.
Total estimated charges
$353.00Insurance Discount
-$123.55Price Negotiated by Insurer
$229.45Deductible 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.
CHED 99283 - Level 3 BCE
$1,010.10ketorolac 30 mg/mL Inj Soln 1 mL
$83.31SDS Tx Proph Diag Injection SQ or IM 96372 BCE
$182.00XR Ankle Complete 3+ Views Right BCE
$395.20This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to White Rock 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 White Rock Medical Center directly at (214) 324-6100.
Total estimated charges
$353.00Insurance Discount
-$317.84Price Negotiated by Insurer
$35.16Deductible 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.
SDS Tx Proph Diag Injection SQ or IM 96372 BCE
$11.23XR Ankle Complete 3+ Views Right BCE
$37.09This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to White Rock 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 White Rock Medical Center directly at (214) 324-6100.
Total estimated charges
$353.00Insurance Discount
-$350.42Price Negotiated by Insurer
$2.58Deductible 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.
CHED 99283 - Level 3 BCE
$4.67ketorolac 30 mg/mL Inj Soln 1 mL
$64.08SDS Tx Proph Diag Injection SQ or IM 96372 BCE
$1.15XR Ankle Complete 3+ Views Right BCE
$1.49This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to White Rock 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 White Rock Medical Center directly at (214) 324-6100.
Total estimated charges
$353.00Insurance Discount
-$208.90Price Negotiated by Insurer
$144.10Deductible 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.
CHED 99283 - Level 3 BCE
$260.94SDS Tx Proph Diag Injection SQ or IM 96372 BCE
$64.43XR Ankle Complete 3+ Views Right BCE
$83.10This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to White Rock 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 White Rock Medical Center directly at (214) 324-6100.
Total estimated charges
$353.00Insurance Discount
-$317.84Price Negotiated by Insurer
$35.16Deductible 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.
SDS Tx Proph Diag Injection SQ or IM 96372 BCE
$11.23XR Ankle Complete 3+ Views Right BCE
$37.09This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to White Rock 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 White Rock Medical Center directly at (214) 324-6100.
Total estimated charges
$353.00Insurance Discount
-$208.90Price Negotiated by Insurer
$144.10Deductible 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.
CHED 99283 - Level 3 BCE
$260.94ketorolac 30 mg/mL Inj Soln 1 mL
$17.43SDS Tx Proph Diag Injection SQ or IM 96372 BCE
$64.43XR Ankle Complete 3+ Views Right BCE
$83.10This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to White Rock 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 White Rock Medical Center directly at (214) 324-6100.
Total estimated charges
$353.00Insurance Discount
-$208.90Price Negotiated by Insurer
$144.10Deductible 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.
CHED 99283 - Level 3 BCE
$260.94SDS Tx Proph Diag Injection SQ or IM 96372 BCE
$64.43XR Ankle Complete 3+ Views Right BCE
$83.10This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to White Rock 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 White Rock Medical Center directly at (214) 324-6100.
Total estimated charges
$353.00Insurance Discount
-$208.90Price Negotiated by Insurer
$144.10Deductible 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.
CHED 99283 - Level 3 BCE
$260.94SDS Tx Proph Diag Injection SQ or IM 96372 BCE
$64.43XR Ankle Complete 3+ Views Right BCE
$83.10This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to White Rock 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 White Rock Medical Center directly at (214) 324-6100.
Total estimated charges
$353.00Insurance Discount
-$208.90Price Negotiated by Insurer
$144.10Deductible 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.
CHED 99283 - Level 3 BCE
$260.94SDS Tx Proph Diag Injection SQ or IM 96372 BCE
$64.43XR Ankle Complete 3+ Views Right BCE
$83.10This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to White Rock 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 White Rock Medical Center directly at (214) 324-6100.
Total estimated charges
$353.00Insurance Discount
-$208.90Price Negotiated by Insurer
$144.10Deductible 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.
CHED 99283 - Level 3 BCE
$260.94SDS Tx Proph Diag Injection SQ or IM 96372 BCE
$64.43XR Ankle Complete 3+ Views Right BCE
$83.10This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to White Rock 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 White Rock Medical Center directly at (214) 324-6100.
Total estimated charges
$353.00Insurance Discount
-$208.90Price Negotiated by Insurer
$144.10Deductible 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.
CHED 99283 - Level 3 BCE
$260.94SDS Tx Proph Diag Injection SQ or IM 96372 BCE
$64.43XR Ankle Complete 3+ Views Right BCE
$83.10This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to White Rock 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 White Rock Medical Center directly at (214) 324-6100.