CPT 72082
The standard charge for X-ray entire spine (scoliosis evaluation), 2 views is $535.00. 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
$535.00Insurance Discount
-$464.50Price Negotiated by Insurer
$70.50Deductible 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
$280.00CHED 99285 - Level 5 BCE
$280.00CT Brain Stroke Protocol w/o Contrast
$104.75XR Chest
$25.73XR Elbow Complete 3+ Views Right
$33.08XR Knee 1 or 2 Views Right
$34.41XR 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
$535.00Insurance Discount
-$429.98Price Negotiated by Insurer
$105.02Deductible 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
$419.16CHED 99285 - Level 5 BCE
$598.24CT Brain Stroke Protocol w/o Contrast
$105.02XR Chest
$87.42This 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
$535.00Insurance Discount
-$429.98Price Negotiated by Insurer
$105.02Deductible 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
$419.16CHED 99285 - Level 5 BCE
$598.24CT Brain Stroke Protocol w/o Contrast
$105.02XR Chest
$87.42This 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
$535.00Insurance Discount
-$350.07Price Negotiated by Insurer
$184.93Deductible 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
$1,875.00CHED 99285 - Level 5 BCE
$2,640.00CT Brain Stroke Protocol w/o Contrast
$184.93XR Chest
$131.69XR Elbow Complete 3+ Views Right
$131.69XR Knee 1 or 2 Views Right
$131.69XR 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
$535.00Insurance Discount
-$313.08Price Negotiated by Insurer
$221.92Deductible 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
$2,250.00CHED 99285 - Level 5 BCE
$3,168.00CT Brain Stroke Protocol w/o Contrast
$221.92XR Chest
$158.02XR Elbow Complete 3+ Views Right
$158.02XR Knee 1 or 2 Views Right
$158.02XR 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
$535.00Insurance Discount
-$429.98Price Negotiated by Insurer
$105.02Deductible 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
$419.16CHED 99285 - Level 5 BCE
$598.24CT Brain Stroke Protocol w/o Contrast
$105.02XR Chest
$87.42This 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
$535.00Insurance Discount
-$287.30Price Negotiated by Insurer
$247.70Deductible 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
$2,500.00CHED 99285 - Level 5 BCE
$3,520.00CT Brain Stroke Protocol w/o Contrast
$247.70XR Chest
$176.38XR Elbow Complete 3+ Views Right
$176.38XR Knee 1 or 2 Views Right
$176.38XR 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
$535.00Insurance Discount
-$171.20Price Negotiated by Insurer
$363.80Deductible 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
$1,439.56CHED 99285 - Level 5 BCE
$2,067.20CT Brain Stroke Protocol w/o Contrast
$3,056.60XR Chest
$451.52XR Elbow Complete 3+ Views Right
$451.52XR Knee 1 or 2 Views Right
$484.16XR 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
$535.00Insurance Discount
-$313.00Price Negotiated by Insurer
$222.00Deductible 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
$1,557.58CHED 99285 - Level 5 BCE
$2,968.44CT Brain Stroke Protocol w/o Contrast
$222.00XR Chest
$184.79XR Elbow Complete 3+ Views Right
$184.79XR Knee 1 or 2 Views Right
$184.79XR 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
$535.00Insurance Discount
-$149.80Price Negotiated by Insurer
$385.20Deductible 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
$1,524.24CHED 99285 - Level 5 BCE
$2,188.80CT Brain Stroke Protocol w/o Contrast
$3,236.40XR Chest
$478.08XR Elbow Complete 3+ Views Right
$478.08XR Knee 1 or 2 Views Right
$512.64XR 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
$535.00Insurance Discount
-$429.98Price Negotiated by Insurer
$105.02Deductible 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
$419.16CHED 99285 - Level 5 BCE
$598.24CT Brain Stroke Protocol w/o Contrast
$105.02XR Chest
$87.42This 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
$535.00Insurance Discount
-$429.98Price Negotiated by Insurer
$105.02Deductible 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
$419.16CHED 99285 - Level 5 BCE
$598.24CT Brain Stroke Protocol w/o Contrast
$105.02XR Chest
$87.42This 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
$535.00Insurance Discount
-$429.98Price Negotiated by Insurer
$105.02Deductible 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
$419.16CHED 99285 - Level 5 BCE
$598.24CT Brain Stroke Protocol w/o Contrast
$105.02XR Chest
$87.42This 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
$535.00Insurance Discount
-$149.80Price Negotiated by Insurer
$385.20Deductible 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
$1,524.24CHED 99285 - Level 5 BCE
$2,188.80CT Brain Stroke Protocol w/o Contrast
$3,236.40XR Chest
$478.08XR Elbow Complete 3+ Views Right
$478.08XR Knee 1 or 2 Views Right
$512.64XR 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
$535.00Insurance Discount
-$429.98Price Negotiated by Insurer
$105.02Deductible 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
$419.16CHED 99285 - Level 5 BCE
$598.24CT Brain Stroke Protocol w/o Contrast
$105.02XR Chest
$87.42This 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
$535.00Insurance Discount
-$429.98Price Negotiated by Insurer
$105.02Deductible 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
$419.16CHED 99285 - Level 5 BCE
$598.24CT Brain Stroke Protocol w/o Contrast
$105.02XR Chest
$87.42This 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
$535.00Insurance Discount
-$187.25Price Negotiated by Insurer
$347.75Deductible 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
$1,376.05CHED 99285 - Level 5 BCE
$1,976.00CT Brain Stroke Protocol w/o Contrast
$2,921.75XR Chest
$431.60XR Elbow Complete 3+ Views Right
$431.60XR Knee 1 or 2 Views Right
$462.80XR 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
$535.00Insurance Discount
-$187.25Price Negotiated by Insurer
$347.75Deductible 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
$1,376.05CHED 99285 - Level 5 BCE
$1,976.00CT Brain Stroke Protocol w/o Contrast
$2,921.75XR Chest
$431.60XR Elbow Complete 3+ Views Right
$431.60XR Knee 1 or 2 Views Right
$462.80XR 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
$535.00Insurance Discount
-$187.25Price Negotiated by Insurer
$347.75Deductible 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
$1,376.05CHED 99285 - Level 5 BCE
$1,976.00CT Brain Stroke Protocol w/o Contrast
$2,921.75XR Chest
$431.60XR Elbow Complete 3+ Views Right
$431.60XR Knee 1 or 2 Views Right
$462.80XR 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
$535.00Insurance Discount
-$149.80Price Negotiated by Insurer
$385.20Deductible 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
$1,524.24CHED 99285 - Level 5 BCE
$2,188.80CT Brain Stroke Protocol w/o Contrast
$3,236.40XR Chest
$478.08XR Elbow Complete 3+ Views Right
$478.08XR Knee 1 or 2 Views Right
$512.64XR 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
$535.00Insurance Discount
-$448.14Price Negotiated by Insurer
$86.86Deductible 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
$146.88CHED 99285 - Level 5 BCE
$212.75CT Brain Stroke Protocol w/o Contrast
$134.24XR Chest
$31.66XR Elbow Complete 3+ Views Right
$332.00XR Knee 1 or 2 Views Right
$356.00XR 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
$535.00Insurance Discount
-$429.98Price Negotiated by Insurer
$105.02Deductible 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
$419.16CHED 99285 - Level 5 BCE
$598.24CT Brain Stroke Protocol w/o Contrast
$105.02XR Chest
$87.42This 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
$535.00Insurance Discount
-$149.80Price Negotiated by Insurer
$385.20Deductible 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
$1,524.24CHED 99285 - Level 5 BCE
$2,188.80CT Brain Stroke Protocol w/o Contrast
$3,236.40XR Chest
$478.08XR Elbow Complete 3+ Views Right
$478.08XR Knee 1 or 2 Views Right
$512.64XR 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
$535.00Insurance Discount
-$429.98Price Negotiated by Insurer
$105.02Deductible 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
$419.16CHED 99285 - Level 5 BCE
$598.24CT Brain Stroke Protocol w/o Contrast
$105.02XR Chest
$87.42XR Elbow Complete 3+ Views Right
$90.30XR Knee 1 or 2 Views Right
$96.83XR 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.
Total estimated charges
$535.00Insurance Discount
-$429.98Price Negotiated by Insurer
$105.02Deductible 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
$419.16CHED 99285 - Level 5 BCE
$598.24CT Brain Stroke Protocol w/o Contrast
$105.02XR Chest
$87.42This 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
$535.00Insurance Discount
-$429.98Price Negotiated by Insurer
$105.02Deductible 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
$419.16CHED 99285 - Level 5 BCE
$598.24CT Brain Stroke Protocol w/o Contrast
$105.02XR Chest
$87.42This 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
$535.00Insurance Discount
-$429.98Price Negotiated by Insurer
$105.02Deductible 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
$419.16CHED 99285 - Level 5 BCE
$598.24CT Brain Stroke Protocol w/o Contrast
$105.02XR Chest
$87.42This 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
$535.00Insurance Discount
-$429.98Price Negotiated by Insurer
$105.02Deductible 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
$419.16CHED 99285 - Level 5 BCE
$598.24CT Brain Stroke Protocol w/o Contrast
$105.02XR Chest
$87.42This 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
$535.00Insurance Discount
-$429.98Price Negotiated by Insurer
$105.02Deductible 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
$419.16CHED 99285 - Level 5 BCE
$598.24CT Brain Stroke Protocol w/o Contrast
$105.02XR Chest
$87.42This 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.