CPT 73552
The standard charge for X-ray Femur, 2 Views is $627.00. 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
$627.00Insurance Discount
-$591.25Price Negotiated by Insurer
$35.75Deductible 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.
CHED 99284 - Level 4 BCE
$280.00ketorolac 15 mg/mL Inj Soln 1 mL
$11.52XR Shoulder Complete 2+ Views Right
$35.09This 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
$627.00Insurance Discount
-$495.31Price Negotiated by Insurer
$131.69Deductible 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.
CHED 99284 - Level 4 BCE
$1,875.00ketorolac 15 mg/mL Inj Soln 1 mL
$0.26XR Shoulder Complete 2+ Views Right
$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
$627.00Insurance Discount
-$468.98Price Negotiated by Insurer
$158.02Deductible 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.
CHED 99284 - Level 4 BCE
$2,250.00ketorolac 15 mg/mL Inj Soln 1 mL
$0.31XR Shoulder Complete 2+ Views Right
$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
$627.00Insurance Discount
-$450.62Price Negotiated by Insurer
$176.38Deductible 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 99284 - Level 4 BCE
$2,500.00ketorolac 15 mg/mL Inj Soln 1 mL
$0.35XR Shoulder Complete 2+ Views Right
$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
$627.00Insurance Discount
-$200.64Price Negotiated by Insurer
$426.36Deductible Applied
-Copay
-Coinsurance
-Your insurance company will pay
-You will owe (Estimate)
Some services may incur additional charges based on the exact care required. Listed below are commonly associated charges with this service and the rate negotiated by your insurance plan. These charges are listed to give you an idea of what types of other services are often required, but not all patients will require these specific services.
CHED 99284 - Level 4 BCE
$1,439.56ketorolac 15 mg/mL Inj Soln 1 mL
$87.04XR Shoulder Complete 2+ Views Right
$424.32This 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
$627.00Insurance Discount
-$442.21Price Negotiated by Insurer
$184.79Deductible 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 99284 - Level 4 BCE
$1,557.58Therapeutic, prophylactic, or diagnostic injection (specify substance or drug); subcutaneous or intr
$152.89XR Shoulder Complete 2+ Views Right
$184.79This 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
$627.00Insurance Discount
-$175.56Price Negotiated by Insurer
$451.44Deductible 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 99284 - Level 4 BCE
$1,524.24ketorolac 15 mg/mL Inj Soln 1 mL
$92.16XR Shoulder Complete 2+ Views Right
$449.28This 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
$627.00Insurance Discount
-$175.56Price Negotiated by Insurer
$451.44Deductible 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 99284 - Level 4 BCE
$1,524.24ketorolac 15 mg/mL Inj Soln 1 mL
$92.16XR Shoulder Complete 2+ Views Right
$449.28This 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
$627.00Insurance Discount
-$219.45Price Negotiated by Insurer
$407.55Deductible 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.
CHED 99284 - Level 4 BCE
$1,376.05ketorolac 15 mg/mL Inj Soln 1 mL
$83.20Therapeutic, prophylactic, or diagnostic injection (specify substance or drug); subcutaneous or intr
$10,000.00XR Shoulder Complete 2+ Views Right
$405.60This 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
$627.00Insurance Discount
-$219.45Price Negotiated by Insurer
$407.55Deductible 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.
CHED 99284 - Level 4 BCE
$1,376.05ketorolac 15 mg/mL Inj Soln 1 mL
$83.20Therapeutic, prophylactic, or diagnostic injection (specify substance or drug); subcutaneous or intr
$10,000.00XR Shoulder Complete 2+ Views Right
$405.60This 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
$627.00Insurance Discount
-$219.45Price Negotiated by Insurer
$407.55Deductible 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.
CHED 99284 - Level 4 BCE
$1,376.05ketorolac 15 mg/mL Inj Soln 1 mL
$83.20Therapeutic, prophylactic, or diagnostic injection (specify substance or drug); subcutaneous or intr
$10,000.00XR Shoulder Complete 2+ Views Right
$405.60This 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
$627.00Insurance Discount
-$175.56Price Negotiated by Insurer
$451.44Deductible 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 99284 - Level 4 BCE
$1,524.24ketorolac 15 mg/mL Inj Soln 1 mL
$92.16XR Shoulder Complete 2+ Views Right
$449.28This 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
$627.00Insurance Discount
-$313.50Price Negotiated by Insurer
$313.50Deductible 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.
CHED 99284 - Level 4 BCE
$146.88ketorolac 15 mg/mL Inj Soln 1 mL
$64.00Therapeutic, prophylactic, or diagnostic injection (specify substance or drug); subcutaneous or intr
$17.70XR Shoulder Complete 2+ Views Right
$312.00This 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
$627.00Insurance Discount
-$175.56Price Negotiated by Insurer
$451.44Deductible 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 99284 - Level 4 BCE
$1,524.24ketorolac 15 mg/mL Inj Soln 1 mL
$92.16XR Shoulder Complete 2+ Views Right
$449.28This 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
$627.00Insurance Discount
-$541.73Price Negotiated by Insurer
$85.27Deductible 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.
CHED 99284 - Level 4 BCE
$419.16ketorolac 15 mg/mL Inj Soln 1 mL
$0.33Therapeutic, prophylactic, or diagnostic injection (specify substance or drug); subcutaneous or intr
$72.33XR Shoulder Complete 2+ Views Right
$84.86This 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.