CPT 26770
The standard charge for Closed treatment of dislocated finger joint with manipulation is $395.94. 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
$395.94Insurance Discount
-$360.31Price Negotiated by Insurer
$35.63Deductible 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
$280.00Injection(s), anesthetic agent(s) and/or steroid other peripheral nerve or branch
$39.31XR Finger(2nd Digit) 2+ Views Left
$38.43XR Hand 2 Views Left
$31.74This 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
$395.94Insurance Discount
-$148.15Price Negotiated by Insurer
$247.79Deductible 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.
Application of short arm splint (forearm to hand) static
$133.65CHED 99283 - Level 3 BCE
$274.22Injection(s), anesthetic agent(s) and/or steroid other peripheral nerve or branch
$709.10This 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
$395.94Insurance Discount
-$148.15Price Negotiated by Insurer
$247.79Deductible 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.
Application of short arm splint (forearm to hand) static
$133.65CHED 99283 - Level 3 BCE
$274.22Injection(s), anesthetic agent(s) and/or steroid other peripheral nerve or branch
$709.10This 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
$395.94Insurance Discount
-$35.82Price Negotiated by Insurer
$360.12Deductible 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.
Application of short arm splint (forearm to hand) static
$182.08CHED 99283 - Level 3 BCE
$977.00Injection(s), anesthetic agent(s) and/or steroid other peripheral nerve or branch
$80.76XR Finger(2nd Digit) 2+ Views Left
$131.69XR Hand 2 Views Left
$184.93This 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
$395.94Price Negotiated by Insurer
$431.28Deductible 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.
Application of short arm splint (forearm to hand) static
$218.06CHED 99283 - Level 3 BCE
$1,172.00Injection(s), anesthetic agent(s) and/or steroid other peripheral nerve or branch
$96.72XR Finger(2nd Digit) 2+ Views Left
$158.02XR Hand 2 Views Left
$221.92This 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
$395.94Insurance Discount
-$148.15Price Negotiated by Insurer
$247.79Deductible 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.
Application of short arm splint (forearm to hand) static
$133.65CHED 99283 - Level 3 BCE
$274.22Injection(s), anesthetic agent(s) and/or steroid other peripheral nerve or branch
$709.10This 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
$395.94Price Negotiated by Insurer
$543.41Deductible 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.
Application of short arm splint (forearm to hand) static
$274.76CHED 99283 - Level 3 BCE
$1,302.00Injection(s), anesthetic agent(s) and/or steroid other peripheral nerve or branch
$121.87XR Finger(2nd Digit) 2+ Views Left
$176.38XR Hand 2 Views Left
$247.70This 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
$395.94Insurance Discount
-$126.70Price Negotiated by Insurer
$269.24Deductible 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
$1,056.72XR Finger(2nd Digit) 2+ Views Left
$330.48XR Hand 2 Views Left
$522.24This 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
$395.94Price Negotiated by Insurer
$523.79Deductible 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.
Application of short arm splint (forearm to hand) static
$282.53CHED 99283 - Level 3 BCE
$1,018.97Injection(s), anesthetic agent(s) and/or steroid other peripheral nerve or branch
$1,498.91XR Finger(2nd Digit) 2+ Views Left
$184.79XR Hand 2 Views Left
$222.00This 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
$395.94Insurance Discount
-$110.86Price Negotiated by Insurer
$285.08Deductible 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.
CHED 99283 - Level 3 BCE
$1,118.88XR Finger(2nd Digit) 2+ Views Left
$349.92XR Hand 2 Views Left
$552.96This 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
$395.94Insurance Discount
-$148.15Price Negotiated by Insurer
$247.79Deductible 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.
Application of short arm splint (forearm to hand) static
$133.65CHED 99283 - Level 3 BCE
$274.22Injection(s), anesthetic agent(s) and/or steroid other peripheral nerve or branch
$709.10This 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
$395.94Insurance Discount
-$148.15Price Negotiated by Insurer
$247.79Deductible 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.
Application of short arm splint (forearm to hand) static
$133.65CHED 99283 - Level 3 BCE
$274.22Injection(s), anesthetic agent(s) and/or steroid other peripheral nerve or branch
$709.10This 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
$395.94Insurance Discount
-$148.15Price Negotiated by Insurer
$247.79Deductible 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.
Application of short arm splint (forearm to hand) static
$133.65CHED 99283 - Level 3 BCE
$274.22Injection(s), anesthetic agent(s) and/or steroid other peripheral nerve or branch
$709.10This 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
$395.94Insurance Discount
-$110.86Price Negotiated by Insurer
$285.08Deductible 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.
CHED 99283 - Level 3 BCE
$1,118.88XR Finger(2nd Digit) 2+ Views Left
$349.92XR Hand 2 Views Left
$552.96This 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
$395.94Insurance Discount
-$148.15Price Negotiated by Insurer
$247.79Deductible 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.
Application of short arm splint (forearm to hand) static
$133.65CHED 99283 - Level 3 BCE
$274.22Injection(s), anesthetic agent(s) and/or steroid other peripheral nerve or branch
$709.10This 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
$395.94Insurance Discount
-$148.15Price Negotiated by Insurer
$247.79Deductible 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.
Application of short arm splint (forearm to hand) static
$133.65CHED 99283 - Level 3 BCE
$274.22Injection(s), anesthetic agent(s) and/or steroid other peripheral nerve or branch
$709.10This 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
$395.94Insurance Discount
-$138.58Price Negotiated by Insurer
$257.36Deductible 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.
Application of short arm splint (forearm to hand) static
$10,000.00CHED 99283 - Level 3 BCE
$1,010.10Injection(s), anesthetic agent(s) and/or steroid other peripheral nerve or branch
$10,000.00XR Finger(2nd Digit) 2+ Views Left
$315.90XR Hand 2 Views Left
$499.20This 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
$395.94Insurance Discount
-$138.58Price Negotiated by Insurer
$257.36Deductible 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.
Application of short arm splint (forearm to hand) static
$10,000.00CHED 99283 - Level 3 BCE
$1,010.10Injection(s), anesthetic agent(s) and/or steroid other peripheral nerve or branch
$10,000.00XR Finger(2nd Digit) 2+ Views Left
$315.90XR Hand 2 Views Left
$499.20This 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
$395.94Insurance Discount
-$138.58Price Negotiated by Insurer
$257.36Deductible 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.
Application of short arm splint (forearm to hand) static
$10,000.00CHED 99283 - Level 3 BCE
$1,010.10Injection(s), anesthetic agent(s) and/or steroid other peripheral nerve or branch
$10,000.00XR Finger(2nd Digit) 2+ Views Left
$315.90XR Hand 2 Views Left
$499.20This 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
$395.94Insurance Discount
-$110.86Price Negotiated by Insurer
$285.08Deductible 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.
CHED 99283 - Level 3 BCE
$1,118.88XR Finger(2nd Digit) 2+ Views Left
$349.92XR Hand 2 Views Left
$552.96This 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
$395.94Insurance Discount
-$58.69Price Negotiated by Insurer
$337.25Deductible Applied
-Copay
-Coinsurance
-Your insurance company will pay
-You will owe (Estimate)
Some services may incur additional charges based on the exact care required. Listed below are commonly associated charges with this service and the rate negotiated by your insurance plan. These charges are listed to give you an idea of what types of other services are often required, but not all patients will require these specific services.
Application of short arm splint (forearm to hand) static
$216.12CHED 99283 - Level 3 BCE
$86.33Injection(s), anesthetic agent(s) and/or steroid other peripheral nerve or branch
$1,170.03XR Finger(2nd Digit) 2+ Views Left
$243.00XR Hand 2 Views Left
$384.00This 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
$395.94Insurance Discount
-$148.15Price Negotiated by Insurer
$247.79Deductible 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.
Application of short arm splint (forearm to hand) static
$133.65CHED 99283 - Level 3 BCE
$274.22Injection(s), anesthetic agent(s) and/or steroid other peripheral nerve or branch
$709.10This 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
$395.94Insurance Discount
-$110.86Price Negotiated by Insurer
$285.08Deductible 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.
CHED 99283 - Level 3 BCE
$1,118.88XR Finger(2nd Digit) 2+ Views Left
$349.92XR Hand 2 Views Left
$552.96This 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
$395.94Insurance Discount
-$148.15Price Negotiated by Insurer
$247.79Deductible 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.
Application of short arm splint (forearm to hand) static
$133.65CHED 99283 - Level 3 BCE
$274.22Injection(s), anesthetic agent(s) and/or steroid other peripheral nerve or branch
$709.10XR Finger(2nd Digit) 2+ Views Left
$66.10XR Hand 2 Views Left
$104.45This 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
$395.94Insurance Discount
-$148.15Price Negotiated by Insurer
$247.79Deductible 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.
Application of short arm splint (forearm to hand) static
$133.65CHED 99283 - Level 3 BCE
$274.22Injection(s), anesthetic agent(s) and/or steroid other peripheral nerve or branch
$709.10This 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
$395.94Insurance Discount
-$148.15Price Negotiated by Insurer
$247.79Deductible 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.
Application of short arm splint (forearm to hand) static
$133.65CHED 99283 - Level 3 BCE
$274.22Injection(s), anesthetic agent(s) and/or steroid other peripheral nerve or branch
$709.10This 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
$395.94Insurance Discount
-$148.15Price Negotiated by Insurer
$247.79Deductible 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.
Application of short arm splint (forearm to hand) static
$133.65CHED 99283 - Level 3 BCE
$274.22Injection(s), anesthetic agent(s) and/or steroid other peripheral nerve or branch
$709.10This 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
$395.94Insurance Discount
-$148.15Price Negotiated by Insurer
$247.79Deductible 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.
Application of short arm splint (forearm to hand) static
$133.65CHED 99283 - Level 3 BCE
$274.22Injection(s), anesthetic agent(s) and/or steroid other peripheral nerve or branch
$709.10This 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
$395.94Insurance Discount
-$148.15Price Negotiated by Insurer
$247.79Deductible 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.
Application of short arm splint (forearm to hand) static
$133.65CHED 99283 - Level 3 BCE
$274.22Injection(s), anesthetic agent(s) and/or steroid other peripheral nerve or branch
$709.10This 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.