CPT 27687

Gastrocnemius recession

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:

  • Your Summary of Benefits and Coverage statement from your health insurance plan. If you don't have a paper copy, this is often also available online through your health insurance company's website.
  • Your remaining deductible amount for this year for your insurance plan. Many insurance plans require you to pay a certain amount out of pocket before the insurance kicks in. This amount is called the deductible and is different for each insurance plan.

More Information

White Rock Medical Center

Cost Estimate

Choose a plan to view the insurance rate estimate.

Cost Estimate

  • Total estimated charges

  • Price Negotiated by Insurer

    $4,635.00

  • Deductible Applied

    -

  • Copay

    -

  • Coinsurance

    -

  • Your insurance company will pay

    -

  • You will owe (Estimate)

    -

Associated Charges

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.

  • Arthrodesis; triple

    $7,210.00

  • Bone graft, any donor area; major or large

    $4,635.00

  • IMP LUMBAR INTERBODY LATERAL

    $22,590.36

  • impl vault peek cage 39x15x15

    $10,843.37

  • Osteotomy; calcaneus (eg, Dwyer or Chambers type procedure), with or without internal fixation

    $7,210.00

  • Osteotomy, tarsal bones, other than calcaneus or talus

    $7,210.00

  • PT Evaluation Units, Low Complexity BCE

    $221.00

  • surgicel hemostat 4 X 8 pad

    $38.37

  • WIRE GUIDEPINCAL -- DHF

    $196.39

This 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.

Cost Estimate

  • Total estimated charges

  • Price Negotiated by Insurer

    $4,440.36

  • Deductible Applied

    -

  • Copay

    -

  • Coinsurance

    -

  • Your insurance company will pay

    -

  • You will owe (Estimate)

    -

Associated Charges

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.

  • Arthrodesis; triple

    $18,054.70

  • Bone graft, any donor area; major or large

    $9,814.08

  • Osteotomy; calcaneus (eg, Dwyer or Chambers type procedure), with or without internal fixation

    $9,814.08

  • Osteotomy, tarsal bones, other than calcaneus or talus

    $9,814.08

This 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.

Cost Estimate

  • Total estimated charges

  • Price Negotiated by Insurer

    $1,088.27

  • Deductible Applied

    -

  • Copay

    -

  • Coinsurance

    -

  • Your insurance company will pay

    -

  • You will owe (Estimate)

    -

Associated Charges

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.

  • Arthrodesis; triple

    $7,350.15

  • Bone graft, any donor area; major or large

    $2,398.52

  • ceFAZolin 1 g and D5W; 50 mL connect

    $11.54

  • fentaNYL 50 mcg/mL Inj Soln 50 mL

    $11.54

  • IMP LUMBAR INTERBODY LATERAL

    $6,777.11

  • impl vault peek cage 39x15x15

    $3,253.01

  • midazolam 5 mg/mL Inj Soln 10 mL

    $11.54

  • Osteotomy; calcaneus (eg, Dwyer or Chambers type procedure), with or without internal fixation

    $3,382.73

  • Osteotomy, tarsal bones, other than calcaneus or talus

    $2,398.52

  • oxyCODONE 10 mg ER Tab

    $0.72

  • propofol 10 mg/mL IV Emulsion 100 mL

    $11.54

  • PT Evaluation Units, Low Complexity BCE

    $80.00

  • ropivacaine 0.2% Inj Soln 200 mL Epidural

    $13.55

  • Sodium Chloride 0.9% IV Soln 500 mL

    $11.54

  • surgicel hemostat 4 X 8 pad

    $6.28

  • vancomycin 1.25 g in 250 mL

    $11.54

  • WIRE GUIDEPINCAL -- DHF

    $58.92

This 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.

Cost Estimate

  • Total estimated charges

  • Price Negotiated by Insurer

    $2,960.24

  • Deductible Applied

    -

  • Copay

    -

  • Coinsurance

    -

  • Your insurance company will pay

    -

  • You will owe (Estimate)

    -

Associated Charges

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.

  • Arthrodesis; triple

    $12,036.47

  • Bone graft, any donor area; major or large

    $6,542.72

  • Osteotomy; calcaneus (eg, Dwyer or Chambers type procedure), with or without internal fixation

    $6,542.72

  • Osteotomy, tarsal bones, other than calcaneus or talus

    $6,542.72

This 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.

Cost Estimate

  • Total estimated charges

  • Price Negotiated by Insurer

    $2,960.24

  • Deductible Applied

    -

  • Copay

    -

  • Coinsurance

    -

  • Your insurance company will pay

    -

  • You will owe (Estimate)

    -

Associated Charges

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.

  • Arthrodesis; triple

    $12,036.47

  • Bone graft, any donor area; major or large

    $6,542.72

  • Osteotomy; calcaneus (eg, Dwyer or Chambers type procedure), with or without internal fixation

    $6,542.72

  • Osteotomy, tarsal bones, other than calcaneus or talus

    $6,542.72

This 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.

Cost Estimate

  • Total estimated charges

  • Price Negotiated by Insurer

    $4,571.54

  • Deductible Applied

    -

  • Copay

    -

  • Coinsurance

    -

  • Your insurance company will pay

    -

  • You will owe (Estimate)

    -

Associated Charges

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.

  • Arthrodesis; triple

    $19,874.19

  • Bone graft, any donor area; major or large

    $9,989.86

  • ceFAZolin 1 g and D5W; 50 mL connect

    $0.55

  • fentaNYL 50 mcg/mL Inj Soln 50 mL

    $0.57

  • IMP LUMBAR INTERBODY LATERAL

    $22,590.36

  • impl vault peek cage 39x15x15

    $10,843.37

  • midazolam 5 mg/mL Inj Soln 10 mL

    $0.12

  • Osteotomy; calcaneus (eg, Dwyer or Chambers type procedure), with or without internal fixation

    $9,989.86

  • Osteotomy, tarsal bones, other than calcaneus or talus

    $9,989.86

  • oxyCODONE 10 mg ER Tab

    $2.40

  • propofol 10 mg/mL IV Emulsion 100 mL

    $0.25

  • PT Evaluation Units, Low Complexity BCE

    $150.49

  • ropivacaine 0.2% Inj Soln 200 mL Epidural

    $0.04

  • Sodium Chloride 0.9% IV Soln 500 mL

    $10.80

  • surgicel hemostat 4 X 8 pad

    $20.93

  • vancomycin 1.25 g in 250 mL

    $2.06

  • WIRE GUIDEPINCAL -- DHF

    $196.39

This 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.

Cost Estimate

  • Total estimated charges

  • Price Negotiated by Insurer

    $5,474.90

  • Deductible Applied

    -

  • Copay

    -

  • Coinsurance

    -

  • Your insurance company will pay

    -

  • You will owe (Estimate)

    -

Associated Charges

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.

  • Arthrodesis; triple

    $23,801.42

  • Bone graft, any donor area; major or large

    $11,963.90

  • ceFAZolin 1 g and D5W; 50 mL connect

    $0.66

  • fentaNYL 50 mcg/mL Inj Soln 50 mL

    $0.68

  • IMP LUMBAR INTERBODY LATERAL

    $27,108.43

  • impl vault peek cage 39x15x15

    $13,012.05

  • midazolam 5 mg/mL Inj Soln 10 mL

    $0.14

  • Osteotomy; calcaneus (eg, Dwyer or Chambers type procedure), with or without internal fixation

    $11,963.90

  • Osteotomy, tarsal bones, other than calcaneus or talus

    $11,963.90

  • oxyCODONE 10 mg ER Tab

    $2.88

  • propofol 10 mg/mL IV Emulsion 100 mL

    $0.30

  • PT Evaluation Units, Low Complexity BCE

    $179.90

  • ropivacaine 0.2% Inj Soln 200 mL Epidural

    $0.05

  • Sodium Chloride 0.9% IV Soln 500 mL

    $12.96

  • surgicel hemostat 4 X 8 pad

    $25.11

  • vancomycin 1.25 g in 250 mL

    $2.47

  • WIRE GUIDEPINCAL -- DHF

    $235.66

This 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.

Cost Estimate

  • Total estimated charges

  • Price Negotiated by Insurer

    $2,960.24

  • Deductible Applied

    -

  • Copay

    -

  • Coinsurance

    -

  • Your insurance company will pay

    -

  • You will owe (Estimate)

    -

Associated Charges

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.

  • Arthrodesis; triple

    $12,036.47

  • Bone graft, any donor area; major or large

    $6,542.72

  • Osteotomy; calcaneus (eg, Dwyer or Chambers type procedure), with or without internal fixation

    $6,542.72

  • Osteotomy, tarsal bones, other than calcaneus or talus

    $6,542.72

This 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.

Cost Estimate

  • Total estimated charges

  • Price Negotiated by Insurer

    $6,898.37

  • Deductible Applied

    -

  • Copay

    -

  • Coinsurance

    -

  • Your insurance company will pay

    -

  • You will owe (Estimate)

    -

Associated Charges

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.

  • Arthrodesis; triple

    $29,989.79

  • Bone graft, any donor area; major or large

    $15,074.51

  • ceFAZolin 1 g and D5W; 50 mL connect

    $0.73

  • fentaNYL 50 mcg/mL Inj Soln 50 mL

    $0.75

  • IMP LUMBAR INTERBODY LATERAL

    $30,120.48

  • impl vault peek cage 39x15x15

    $14,457.83

  • midazolam 5 mg/mL Inj Soln 10 mL

    $0.15

  • Osteotomy; calcaneus (eg, Dwyer or Chambers type procedure), with or without internal fixation

    $15,074.51

  • Osteotomy, tarsal bones, other than calcaneus or talus

    $15,074.51

  • oxyCODONE 10 mg ER Tab

    $3.20

  • propofol 10 mg/mL IV Emulsion 100 mL

    $0.33

  • PT Evaluation Units, Low Complexity BCE

    $200.66

  • ropivacaine 0.2% Inj Soln 200 mL Epidural

    $0.06

  • Sodium Chloride 0.9% IV Soln 500 mL

    $14.38

  • surgicel hemostat 4 X 8 pad

    $27.90

  • vancomycin 1.25 g in 250 mL

    $2.74

  • WIRE GUIDEPINCAL -- DHF

    $261.85

This 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.

Cost Estimate

  • Total estimated charges

  • Price Negotiated by Insurer

    $6,705.80

  • Deductible Applied

    -

  • Copay

    -

  • Coinsurance

    -

  • Your insurance company will pay

    -

  • You will owe (Estimate)

    -

Associated Charges

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.

  • Arthrodesis; triple

    $27,266.10

  • Bone graft, any donor area; major or large

    $14,821.16

  • Osteotomy; calcaneus (eg, Dwyer or Chambers type procedure), with or without internal fixation

    $14,821.16

  • Osteotomy, tarsal bones, other than calcaneus or talus

    $14,821.16

  • PT Evaluation Units, Low Complexity BCE

    $200.00

This 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.

Cost Estimate

  • Total estimated charges

  • Price Negotiated by Insurer

    $1,088.27

  • Deductible Applied

    -

  • Copay

    -

  • Coinsurance

    -

  • Your insurance company will pay

    -

  • You will owe (Estimate)

    -

Associated Charges

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.

  • Arthrodesis; triple

    $7,350.15

  • Bone graft, any donor area; major or large

    $2,398.52

  • Osteotomy; calcaneus (eg, Dwyer or Chambers type procedure), with or without internal fixation

    $3,382.73

  • Osteotomy, tarsal bones, other than calcaneus or talus

    $2,398.52

This 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.

Cost Estimate

  • Total estimated charges

  • Price Negotiated by Insurer

    $2,960.24

  • Deductible Applied

    -

  • Copay

    -

  • Coinsurance

    -

  • Your insurance company will pay

    -

  • You will owe (Estimate)

    -

Associated Charges

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.

  • Arthrodesis; triple

    $12,036.47

  • Bone graft, any donor area; major or large

    $6,542.72

  • Osteotomy; calcaneus (eg, Dwyer or Chambers type procedure), with or without internal fixation

    $6,542.72

  • Osteotomy, tarsal bones, other than calcaneus or talus

    $6,542.72

This 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.

Cost Estimate

  • Total estimated charges

  • Price Negotiated by Insurer

    $2,960.24

  • Deductible Applied

    -

  • Copay

    -

  • Coinsurance

    -

  • Your insurance company will pay

    -

  • You will owe (Estimate)

    -

Associated Charges

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.

  • Arthrodesis; triple

    $12,036.47

  • Bone graft, any donor area; major or large

    $6,542.72

  • Osteotomy; calcaneus (eg, Dwyer or Chambers type procedure), with or without internal fixation

    $6,542.72

  • Osteotomy, tarsal bones, other than calcaneus or talus

    $6,542.72

This 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.

Cost Estimate

  • Total estimated charges

  • Price Negotiated by Insurer

    $2,960.24

  • Deductible Applied

    -

  • Copay

    -

  • Coinsurance

    -

  • Your insurance company will pay

    -

  • You will owe (Estimate)

    -

Associated Charges

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.

  • Arthrodesis; triple

    $12,036.47

  • Bone graft, any donor area; major or large

    $6,542.72

  • Osteotomy; calcaneus (eg, Dwyer or Chambers type procedure), with or without internal fixation

    $6,542.72

  • Osteotomy, tarsal bones, other than calcaneus or talus

    $6,542.72

This 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.

Cost Estimate

  • Total estimated charges

  • Price Negotiated by Insurer

    $1,088.27

  • Deductible Applied

    -

  • Copay

    -

  • Coinsurance

    -

  • Your insurance company will pay

    -

  • You will owe (Estimate)

    -

Associated Charges

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.

  • Arthrodesis; triple

    $7,350.15

  • Bone graft, any donor area; major or large

    $2,398.52

  • Osteotomy; calcaneus (eg, Dwyer or Chambers type procedure), with or without internal fixation

    $3,382.73

  • Osteotomy, tarsal bones, other than calcaneus or talus

    $2,398.52

This 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.

Cost Estimate

  • Total estimated charges

  • Price Negotiated by Insurer

    $2,960.24

  • Deductible Applied

    -

  • Copay

    -

  • Coinsurance

    -

  • Your insurance company will pay

    -

  • You will owe (Estimate)

    -

Associated Charges

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.

  • Arthrodesis; triple

    $12,036.47

  • Bone graft, any donor area; major or large

    $6,542.72

  • Osteotomy; calcaneus (eg, Dwyer or Chambers type procedure), with or without internal fixation

    $6,542.72

  • Osteotomy, tarsal bones, other than calcaneus or talus

    $6,542.72

This 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.

Cost Estimate

  • Total estimated charges

  • Price Negotiated by Insurer

    $2,960.24

  • Deductible Applied

    -

  • Copay

    -

  • Coinsurance

    -

  • Your insurance company will pay

    -

  • You will owe (Estimate)

    -

Associated Charges

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.

  • Arthrodesis; triple

    $12,036.47

  • Bone graft, any donor area; major or large

    $6,542.72

  • Osteotomy; calcaneus (eg, Dwyer or Chambers type procedure), with or without internal fixation

    $6,542.72

  • Osteotomy, tarsal bones, other than calcaneus or talus

    $6,542.72

This 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.

Cost Estimate

  • Total estimated charges

  • Price Negotiated by Insurer

    $10,000.00

  • Deductible Applied

    -

  • Copay

    -

  • Coinsurance

    -

  • Your insurance company will pay

    -

  • You will owe (Estimate)

    -

Associated Charges

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.

  • Arthrodesis; triple

    $10,000.00

  • Bone graft, any donor area; major or large

    $10,000.00

  • ceFAZolin 1 g and D5W; 50 mL connect

    $83.31

  • fentaNYL 50 mcg/mL Inj Soln 50 mL

    $83.32

  • IMP LUMBAR INTERBODY LATERAL

    $37,650.60

  • impl vault peek cage 39x15x15

    $18,072.29

  • midazolam 5 mg/mL Inj Soln 10 mL

    $83.32

  • Osteotomy; calcaneus (eg, Dwyer or Chambers type procedure), with or without internal fixation

    $10,000.00

  • Osteotomy, tarsal bones, other than calcaneus or talus

    $10,000.00

  • oxyCODONE 10 mg ER Tab

    $5.20

  • propofol 10 mg/mL IV Emulsion 100 mL

    $83.31

  • PT Evaluation Units, Low Complexity BCE

    $82.55

  • ropivacaine 0.2% Inj Soln 200 mL Epidural

    $97.88

  • Sodium Chloride 0.9% IV Soln 500 mL

    $83.31

  • surgicel hemostat 4 X 8 pad

    $45.34

  • vancomycin 1.25 g in 250 mL

    $83.31

  • WIRE GUIDEPINCAL -- DHF

    $327.31

This 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.

Cost Estimate

  • Total estimated charges

  • Price Negotiated by Insurer

    $10,000.00

  • Deductible Applied

    -

  • Copay

    -

  • Coinsurance

    -

  • Your insurance company will pay

    -

  • You will owe (Estimate)

    -

Associated Charges

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.

  • Arthrodesis; triple

    $10,000.00

  • Bone graft, any donor area; major or large

    $10,000.00

  • ceFAZolin 1 g and D5W; 50 mL connect

    $83.31

  • fentaNYL 50 mcg/mL Inj Soln 50 mL

    $83.32

  • IMP LUMBAR INTERBODY LATERAL

    $37,650.60

  • impl vault peek cage 39x15x15

    $18,072.29

  • midazolam 5 mg/mL Inj Soln 10 mL

    $83.32

  • Osteotomy; calcaneus (eg, Dwyer or Chambers type procedure), with or without internal fixation

    $10,000.00

  • Osteotomy, tarsal bones, other than calcaneus or talus

    $10,000.00

  • oxyCODONE 10 mg ER Tab

    $5.20

  • propofol 10 mg/mL IV Emulsion 100 mL

    $83.31

  • PT Evaluation Units, Low Complexity BCE

    $82.55

  • ropivacaine 0.2% Inj Soln 200 mL Epidural

    $97.88

  • Sodium Chloride 0.9% IV Soln 500 mL

    $83.31

  • surgicel hemostat 4 X 8 pad

    $45.34

  • vancomycin 1.25 g in 250 mL

    $83.31

  • WIRE GUIDEPINCAL -- DHF

    $327.31

This 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.

Cost Estimate

  • Total estimated charges

  • Price Negotiated by Insurer

    $10,000.00

  • Deductible Applied

    -

  • Copay

    -

  • Coinsurance

    -

  • Your insurance company will pay

    -

  • You will owe (Estimate)

    -

Associated Charges

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.

  • Arthrodesis; triple

    $10,000.00

  • Bone graft, any donor area; major or large

    $10,000.00

  • ceFAZolin 1 g and D5W; 50 mL connect

    $83.31

  • fentaNYL 50 mcg/mL Inj Soln 50 mL

    $83.32

  • IMP LUMBAR INTERBODY LATERAL

    $37,650.60

  • impl vault peek cage 39x15x15

    $18,072.29

  • midazolam 5 mg/mL Inj Soln 10 mL

    $83.32

  • Osteotomy; calcaneus (eg, Dwyer or Chambers type procedure), with or without internal fixation

    $10,000.00

  • Osteotomy, tarsal bones, other than calcaneus or talus

    $10,000.00

  • oxyCODONE 10 mg ER Tab

    $5.20

  • propofol 10 mg/mL IV Emulsion 100 mL

    $83.31

  • PT Evaluation Units, Low Complexity BCE

    $82.55

  • ropivacaine 0.2% Inj Soln 200 mL Epidural

    $97.88

  • Sodium Chloride 0.9% IV Soln 500 mL

    $83.31

  • surgicel hemostat 4 X 8 pad

    $45.34

  • vancomycin 1.25 g in 250 mL

    $83.31

  • WIRE GUIDEPINCAL -- DHF

    $327.31

This 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.

Cost Estimate

  • Total estimated charges

  • Price Negotiated by Insurer

    $1,088.27

  • Deductible Applied

    -

  • Copay

    -

  • Coinsurance

    -

  • Your insurance company will pay

    -

  • You will owe (Estimate)

    -

Associated Charges

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.

  • Arthrodesis; triple

    $7,350.15

  • Bone graft, any donor area; major or large

    $2,398.52

  • Osteotomy; calcaneus (eg, Dwyer or Chambers type procedure), with or without internal fixation

    $3,382.73

  • Osteotomy, tarsal bones, other than calcaneus or talus

    $2,398.52

This 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.

Cost Estimate

  • Total estimated charges

  • Price Negotiated by Insurer

    $65.29

  • Deductible Applied

    -

  • Copay

    -

  • Coinsurance

    -

  • Your insurance company will pay

    -

  • You will owe (Estimate)

    -

Associated Charges

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.

  • Arthrodesis; triple

    $265.49

  • Bone graft, any donor area; major or large

    $144.31

  • ceFAZolin 1 g and D5W; 50 mL connect

    $64.08

  • fentaNYL 50 mcg/mL Inj Soln 50 mL

    $64.10

  • IMP LUMBAR INTERBODY LATERAL

    $37,650.60

  • impl vault peek cage 39x15x15

    $18,072.29

  • midazolam 5 mg/mL Inj Soln 10 mL

    $64.10

  • Osteotomy; calcaneus (eg, Dwyer or Chambers type procedure), with or without internal fixation

    $144.31

  • Osteotomy, tarsal bones, other than calcaneus or talus

    $144.31

  • oxyCODONE 10 mg ER Tab

    $4.00

  • propofol 10 mg/mL IV Emulsion 100 mL

    $64.08

  • PT Evaluation Units, Low Complexity BCE

    $180.00

  • ropivacaine 0.2% Inj Soln 200 mL Epidural

    $75.30

  • Sodium Chloride 0.9% IV Soln 500 mL

    $64.08

  • surgicel hemostat 4 X 8 pad

    $34.88

  • vancomycin 1.25 g in 250 mL

    $64.08

  • WIRE GUIDEPINCAL -- DHF

    $327.31

This 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.

Cost Estimate

  • Total estimated charges

  • Price Negotiated by Insurer

    $2,960.24

  • Deductible Applied

    -

  • Copay

    -

  • Coinsurance

    -

  • Your insurance company will pay

    -

  • You will owe (Estimate)

    -

Associated Charges

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.

  • Arthrodesis; triple

    $12,036.47

  • Bone graft, any donor area; major or large

    $6,542.72

  • Osteotomy; calcaneus (eg, Dwyer or Chambers type procedure), with or without internal fixation

    $6,542.72

  • Osteotomy, tarsal bones, other than calcaneus or talus

    $6,542.72

This 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.

Cost Estimate

  • Total estimated charges

  • Price Negotiated by Insurer

    $1,088.27

  • Deductible Applied

    -

  • Copay

    -

  • Coinsurance

    -

  • Your insurance company will pay

    -

  • You will owe (Estimate)

    -

Associated Charges

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.

  • Arthrodesis; triple

    $7,350.15

  • Bone graft, any donor area; major or large

    $2,398.52

  • Osteotomy; calcaneus (eg, Dwyer or Chambers type procedure), with or without internal fixation

    $3,382.73

  • Osteotomy, tarsal bones, other than calcaneus or talus

    $2,398.52

This 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.

Cost Estimate

  • Total estimated charges

  • Price Negotiated by Insurer

    $2,960.24

  • Deductible Applied

    -

  • Copay

    -

  • Coinsurance

    -

  • Your insurance company will pay

    -

  • You will owe (Estimate)

    -

Associated Charges

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.

  • Arthrodesis; triple

    $12,036.47

  • Bone graft, any donor area; major or large

    $6,542.72

  • ceFAZolin 1 g and D5W; 50 mL connect

    $17.43

  • fentaNYL 50 mcg/mL Inj Soln 50 mL

    $17.43

  • IMP LUMBAR INTERBODY LATERAL

    $10,240.96

  • impl vault peek cage 39x15x15

    $4,915.66

  • midazolam 5 mg/mL Inj Soln 10 mL

    $17.43

  • Osteotomy; calcaneus (eg, Dwyer or Chambers type procedure), with or without internal fixation

    $6,542.72

  • Osteotomy, tarsal bones, other than calcaneus or talus

    $6,542.72

  • oxyCODONE 10 mg ER Tab

    $1.09

  • propofol 10 mg/mL IV Emulsion 100 mL

    $17.43

  • PT Evaluation Units, Low Complexity BCE

    $17.27

  • ropivacaine 0.2% Inj Soln 200 mL Epidural

    $20.48

  • Sodium Chloride 0.9% IV Soln 500 mL

    $17.43

  • surgicel hemostat 4 X 8 pad

    $9.49

  • vancomycin 1.25 g in 250 mL

    $17.43

  • WIRE GUIDEPINCAL -- DHF

    $89.03

This 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.

Cost Estimate

  • Total estimated charges

  • Price Negotiated by Insurer

    $2,960.24

  • Deductible Applied

    -

  • Copay

    -

  • Coinsurance

    -

  • Your insurance company will pay

    -

  • You will owe (Estimate)

    -

Associated Charges

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.

  • Arthrodesis; triple

    $12,036.47

  • Bone graft, any donor area; major or large

    $6,542.72

  • Osteotomy; calcaneus (eg, Dwyer or Chambers type procedure), with or without internal fixation

    $6,542.72

  • Osteotomy, tarsal bones, other than calcaneus or talus

    $6,542.72

This 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.

Cost Estimate

  • Total estimated charges

  • Price Negotiated by Insurer

    $2,960.24

  • Deductible Applied

    -

  • Copay

    -

  • Coinsurance

    -

  • Your insurance company will pay

    -

  • You will owe (Estimate)

    -

Associated Charges

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.

  • Arthrodesis; triple

    $12,036.47

  • Bone graft, any donor area; major or large

    $6,542.72

  • Osteotomy; calcaneus (eg, Dwyer or Chambers type procedure), with or without internal fixation

    $6,542.72

  • Osteotomy, tarsal bones, other than calcaneus or talus

    $6,542.72

This 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.

Cost Estimate

  • Total estimated charges

  • Price Negotiated by Insurer

    $2,960.24

  • Deductible Applied

    -

  • Copay

    -

  • Coinsurance

    -

  • Your insurance company will pay

    -

  • You will owe (Estimate)

    -

Associated Charges

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.

  • Arthrodesis; triple

    $12,036.47

  • Bone graft, any donor area; major or large

    $6,542.72

  • Osteotomy; calcaneus (eg, Dwyer or Chambers type procedure), with or without internal fixation

    $6,542.72

  • Osteotomy, tarsal bones, other than calcaneus or talus

    $6,542.72

This 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.

Cost Estimate

  • Total estimated charges

  • Price Negotiated by Insurer

    $2,960.24

  • Deductible Applied

    -

  • Copay

    -

  • Coinsurance

    -

  • Your insurance company will pay

    -

  • You will owe (Estimate)

    -

Associated Charges

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.

  • Arthrodesis; triple

    $12,036.47

  • Bone graft, any donor area; major or large

    $6,542.72

  • Osteotomy; calcaneus (eg, Dwyer or Chambers type procedure), with or without internal fixation

    $6,542.72

  • Osteotomy, tarsal bones, other than calcaneus or talus

    $6,542.72

This 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.

Cost Estimate

  • Total estimated charges

  • Price Negotiated by Insurer

    $2,960.24

  • Deductible Applied

    -

  • Copay

    -

  • Coinsurance

    -

  • Your insurance company will pay

    -

  • You will owe (Estimate)

    -

Associated Charges

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.

  • Arthrodesis; triple

    $12,036.47

  • Bone graft, any donor area; major or large

    $6,542.72

  • Osteotomy; calcaneus (eg, Dwyer or Chambers type procedure), with or without internal fixation

    $6,542.72

  • Osteotomy, tarsal bones, other than calcaneus or talus

    $6,542.72

This 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.