CPT 27687
The standard charge for Gastrocnemius recession is $19,812.80. 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
$19,812.80Insurance Discount
-$18,724.53Price Negotiated by Insurer
$1,088.27Deductible Applied
-Copay
-Coinsurance
-Your insurance company will pay
-You will owe (Estimate)
Some services may incur additional charges based on the exact care required. Listed below are commonly associated charges with this service and the rate negotiated by your insurance plan. These charges are listed to give you an idea of what types of other services are often required, but not all patients will require these specific services.
AR-8916VSL-03
$197.96AR-8935-16AR-8935-18
$14.94AR-8943-01
$7.72Arthrodesis; triple
$7,350.15Bone graft, any donor area; major or large
$2,398.52ceFAZolin 1 g Pow
$11.54fentaNYL 50 mcg/mL Inj Soln 10 mL
$11.52ferrous gluconate 324 mg (38 mg elemental iron) Tab
$0.72midazolam 5 mg/mL Inj Soln 10 mL
$11.52Osteotomy; calcaneus (eg, Dwyer or Chambers type procedure), with or without internal fixation
$3,382.73Osteotomy, tarsal bones, other than calcaneus or talus
$2,398.52Package Kit, Drills, Plate, Coticol Screws, Locking Screws-Stryker
$3,413.49propofol 10 mg/mL IV Emulsion 20 mL
$11.54ropivacaine 0.5% Inj Soln 30 mL
$11.54SC-4230SC-4276
$4.88Sodium Chloride 0.9% IV Soln 25 mL
$11.54vancomycin 500 mg IV Inj
$11.54WRNR PT Evaluation Low Complexity BCE
$80.00This 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
$19,812.80Insurance Discount
-$16,525.89Price Negotiated by Insurer
$3,286.91Deductible 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.
Arthrodesis; triple
$12,897.19Bone graft, any donor area; major or large
$7,289.28Osteotomy; calcaneus (eg, Dwyer or Chambers type procedure), with or without internal fixation
$7,289.28Osteotomy, tarsal bones, other than calcaneus or talus
$7,289.28This 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
$19,812.80Insurance Discount
-$16,525.89Price Negotiated by Insurer
$3,286.91Deductible 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.
Arthrodesis; triple
$12,897.19Bone graft, any donor area; major or large
$7,289.28Osteotomy; calcaneus (eg, Dwyer or Chambers type procedure), with or without internal fixation
$7,289.28Osteotomy, tarsal bones, other than calcaneus or talus
$7,289.28This 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
$19,812.80Insurance Discount
-$15,241.26Price Negotiated by Insurer
$4,571.54Deductible 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.
AR-8916VSL-03
$659.85AR-8935-16AR-8935-18
$49.80AR-8943-01
$25.73Arthrodesis; triple
$19,874.19Bone graft, any donor area; major or large
$9,989.86ceFAZolin 1 g Pow
$0.55fentaNYL 50 mcg/mL Inj Soln 10 mL
$0.57ferrous gluconate 324 mg (38 mg elemental iron) Tab
$2.40midazolam 5 mg/mL Inj Soln 10 mL
$0.12Osteotomy; calcaneus (eg, Dwyer or Chambers type procedure), with or without internal fixation
$9,989.86Osteotomy, tarsal bones, other than calcaneus or talus
$9,989.86Package Kit, Drills, Plate, Coticol Screws, Locking Screws-Stryker
$11,378.31propofol 10 mg/mL IV Emulsion 20 mL
$0.25ropivacaine 0.5% Inj Soln 30 mL
$0.04SC-4230SC-4276
$16.27Sodium Chloride 0.9% IV Soln 25 mL
$10.80vancomycin 500 mg IV Inj
$2.06WRNR PT Evaluation Low Complexity BCE
$38.10This 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
$19,812.80Insurance Discount
-$14,337.90Price Negotiated by Insurer
$5,474.90Deductible 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.
AR-8916VSL-03
$791.82AR-8935-16AR-8935-18
$59.76AR-8943-01
$30.87Arthrodesis; triple
$23,801.42Bone graft, any donor area; major or large
$11,963.90ceFAZolin 1 g Pow
$0.66fentaNYL 50 mcg/mL Inj Soln 10 mL
$0.68ferrous gluconate 324 mg (38 mg elemental iron) Tab
$2.88midazolam 5 mg/mL Inj Soln 10 mL
$0.14Osteotomy; calcaneus (eg, Dwyer or Chambers type procedure), with or without internal fixation
$11,963.90Osteotomy, tarsal bones, other than calcaneus or talus
$11,963.90Package Kit, Drills, Plate, Coticol Screws, Locking Screws-Stryker
$13,653.98propofol 10 mg/mL IV Emulsion 20 mL
$0.30ropivacaine 0.5% Inj Soln 30 mL
$0.05SC-4230SC-4276
$19.52Sodium Chloride 0.9% IV Soln 25 mL
$12.96vancomycin 500 mg IV Inj
$2.47WRNR PT Evaluation Low Complexity BCE
$45.72This 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
$19,812.80Insurance Discount
-$16,525.89Price Negotiated by Insurer
$3,286.91Deductible 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.
Arthrodesis; triple
$12,897.19Bone graft, any donor area; major or large
$7,289.28Osteotomy; calcaneus (eg, Dwyer or Chambers type procedure), with or without internal fixation
$7,289.28Osteotomy, tarsal bones, other than calcaneus or talus
$7,289.28This 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
$19,812.80Insurance Discount
-$12,914.43Price Negotiated by Insurer
$6,898.37Deductible 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.
AR-8916VSL-03
$879.80AR-8935-16AR-8935-18
$66.40AR-8943-01
$34.30Arthrodesis; triple
$29,989.79Bone graft, any donor area; major or large
$15,074.51ceFAZolin 1 g Pow
$0.73fentaNYL 50 mcg/mL Inj Soln 10 mL
$0.75ferrous gluconate 324 mg (38 mg elemental iron) Tab
$3.20midazolam 5 mg/mL Inj Soln 10 mL
$0.15Osteotomy; calcaneus (eg, Dwyer or Chambers type procedure), with or without internal fixation
$15,074.51Osteotomy, tarsal bones, other than calcaneus or talus
$15,074.51Package Kit, Drills, Plate, Coticol Screws, Locking Screws-Stryker
$15,171.08propofol 10 mg/mL IV Emulsion 20 mL
$0.33ropivacaine 0.5% Inj Soln 30 mL
$0.06SC-4230SC-4276
$21.69Sodium Chloride 0.9% IV Soln 25 mL
$14.38vancomycin 500 mg IV Inj
$2.74WRNR PT Evaluation Low Complexity BCE
$50.80This 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
$19,812.80Insurance Discount
-$6,340.10Price Negotiated by Insurer
$13,472.70Deductible 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.
AR-8916VSL-03
$1,495.66AR-8935-16AR-8935-18
$112.88AR-8943-01
$58.32ceFAZolin 1 g Pow
$87.16fentaNYL 50 mcg/mL Inj Soln 10 mL
$87.04ferrous gluconate 324 mg (38 mg elemental iron) Tab
$5.44midazolam 5 mg/mL Inj Soln 10 mL
$87.04Package Kit, Drills, Plate, Coticol Screws, Locking Screws-Stryker
$25,790.84propofol 10 mg/mL IV Emulsion 20 mL
$87.16ropivacaine 0.5% Inj Soln 30 mL
$87.16SC-4230SC-4276
$36.87Sodium Chloride 0.9% IV Soln 25 mL
$87.16vancomycin 500 mg IV Inj
$87.16WRNR PT Evaluation Low Complexity BCE
$86.36This 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
$19,812.80Insurance Discount
-$12,864.86Price Negotiated by Insurer
$6,947.94Deductible 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.
Arthrodesis; triple
$27,262.32Bone graft, any donor area; major or large
$15,408.22Osteotomy; calcaneus (eg, Dwyer or Chambers type procedure), with or without internal fixation
$15,408.22Osteotomy, tarsal bones, other than calcaneus or talus
$15,408.22WRNR PT Evaluation Low Complexity BCE
$200.00This 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
$19,812.80Insurance Discount
-$5,547.58Price Negotiated by Insurer
$14,265.22Deductible 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.
AR-8916VSL-03
$1,583.64AR-8935-16AR-8935-18
$119.52AR-8943-01
$61.75ceFAZolin 1 g Pow
$92.28fentaNYL 50 mcg/mL Inj Soln 10 mL
$92.16ferrous gluconate 324 mg (38 mg elemental iron) Tab
$5.76midazolam 5 mg/mL Inj Soln 10 mL
$92.16Package Kit, Drills, Plate, Coticol Screws, Locking Screws-Stryker
$27,307.95propofol 10 mg/mL IV Emulsion 20 mL
$92.28ropivacaine 0.5% Inj Soln 30 mL
$92.28SC-4230SC-4276
$39.04Sodium Chloride 0.9% IV Soln 25 mL
$92.28vancomycin 500 mg IV Inj
$92.28WRNR PT Evaluation Low Complexity BCE
$91.44This 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
$19,812.80Insurance Discount
-$16,525.89Price Negotiated by Insurer
$3,286.91Deductible 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.
Arthrodesis; triple
$12,897.19Bone graft, any donor area; major or large
$7,289.28Osteotomy; calcaneus (eg, Dwyer or Chambers type procedure), with or without internal fixation
$7,289.28Osteotomy, tarsal bones, other than calcaneus or talus
$7,289.28This 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
$19,812.80Insurance Discount
-$16,525.89Price Negotiated by Insurer
$3,286.91Deductible 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.
Arthrodesis; triple
$12,897.19Bone graft, any donor area; major or large
$7,289.28Osteotomy; calcaneus (eg, Dwyer or Chambers type procedure), with or without internal fixation
$7,289.28Osteotomy, tarsal bones, other than calcaneus or talus
$7,289.28This 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
$19,812.80Insurance Discount
-$16,525.89Price Negotiated by Insurer
$3,286.91Deductible 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.
Arthrodesis; triple
$12,897.19Bone graft, any donor area; major or large
$7,289.28Osteotomy; calcaneus (eg, Dwyer or Chambers type procedure), with or without internal fixation
$7,289.28Osteotomy, tarsal bones, other than calcaneus or talus
$7,289.28This 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
$19,812.80Insurance Discount
-$5,547.58Price Negotiated by Insurer
$14,265.22Deductible 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.
AR-8916VSL-03
$1,583.64AR-8935-16AR-8935-18
$119.52AR-8943-01
$61.75ceFAZolin 1 g Pow
$92.28fentaNYL 50 mcg/mL Inj Soln 10 mL
$92.16ferrous gluconate 324 mg (38 mg elemental iron) Tab
$5.76midazolam 5 mg/mL Inj Soln 10 mL
$92.16Package Kit, Drills, Plate, Coticol Screws, Locking Screws-Stryker
$27,307.95propofol 10 mg/mL IV Emulsion 20 mL
$92.28ropivacaine 0.5% Inj Soln 30 mL
$92.28SC-4230SC-4276
$39.04Sodium Chloride 0.9% IV Soln 25 mL
$92.28vancomycin 500 mg IV Inj
$92.28WRNR PT Evaluation Low Complexity BCE
$91.44This 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
$19,812.80Insurance Discount
-$16,525.89Price Negotiated by Insurer
$3,286.91Deductible 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.
Arthrodesis; triple
$12,897.19Bone graft, any donor area; major or large
$7,289.28Osteotomy; calcaneus (eg, Dwyer or Chambers type procedure), with or without internal fixation
$7,289.28Osteotomy, tarsal bones, other than calcaneus or talus
$7,289.28This 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
$19,812.80Insurance Discount
-$16,525.89Price Negotiated by Insurer
$3,286.91Deductible 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.
Arthrodesis; triple
$12,897.19Bone graft, any donor area; major or large
$7,289.28Osteotomy; calcaneus (eg, Dwyer or Chambers type procedure), with or without internal fixation
$7,289.28Osteotomy, tarsal bones, other than calcaneus or talus
$7,289.28This 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
$19,812.80Insurance Discount
-$9,812.80Price Negotiated by Insurer
$10,000.00Deductible 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.
AR-8916VSL-03
$1,099.75AR-8935-16AR-8935-18
$83.00AR-8943-01
$55.74Arthrodesis; triple
$10,000.00Bone graft, any donor area; major or large
$10,000.00ceFAZolin 1 g Pow
$83.31fentaNYL 50 mcg/mL Inj Soln 10 mL
$83.20ferrous gluconate 324 mg (38 mg elemental iron) Tab
$5.20midazolam 5 mg/mL Inj Soln 10 mL
$83.20Osteotomy; calcaneus (eg, Dwyer or Chambers type procedure), with or without internal fixation
$10,000.00Osteotomy, tarsal bones, other than calcaneus or talus
$10,000.00Package Kit, Drills, Plate, Coticol Screws, Locking Screws-Stryker
$18,963.85propofol 10 mg/mL IV Emulsion 20 mL
$83.31ropivacaine 0.5% Inj Soln 30 mL
$83.31SC-4230SC-4276
$35.24Sodium Chloride 0.9% IV Soln 25 mL
$83.31vancomycin 500 mg IV Inj
$83.31WRNR PT Evaluation Low Complexity BCE
$82.55This 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
$19,812.80Insurance Discount
-$9,812.80Price Negotiated by Insurer
$10,000.00Deductible 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.
AR-8916VSL-03
$1,099.75AR-8935-16AR-8935-18
$83.00AR-8943-01
$55.74Arthrodesis; triple
$10,000.00Bone graft, any donor area; major or large
$10,000.00ceFAZolin 1 g Pow
$83.31fentaNYL 50 mcg/mL Inj Soln 10 mL
$83.20ferrous gluconate 324 mg (38 mg elemental iron) Tab
$5.20midazolam 5 mg/mL Inj Soln 10 mL
$83.20Osteotomy; calcaneus (eg, Dwyer or Chambers type procedure), with or without internal fixation
$10,000.00Osteotomy, tarsal bones, other than calcaneus or talus
$10,000.00Package Kit, Drills, Plate, Coticol Screws, Locking Screws-Stryker
$18,963.85propofol 10 mg/mL IV Emulsion 20 mL
$83.31ropivacaine 0.5% Inj Soln 30 mL
$83.31SC-4230SC-4276
$35.24Sodium Chloride 0.9% IV Soln 25 mL
$83.31vancomycin 500 mg IV Inj
$83.31WRNR PT Evaluation Low Complexity BCE
$82.55This 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
$19,812.80Insurance Discount
-$9,812.80Price Negotiated by Insurer
$10,000.00Deductible 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.
AR-8916VSL-03
$1,099.75AR-8935-16AR-8935-18
$83.00AR-8943-01
$55.74Arthrodesis; triple
$10,000.00Bone graft, any donor area; major or large
$10,000.00ceFAZolin 1 g Pow
$83.31fentaNYL 50 mcg/mL Inj Soln 10 mL
$83.20ferrous gluconate 324 mg (38 mg elemental iron) Tab
$5.20midazolam 5 mg/mL Inj Soln 10 mL
$83.20Osteotomy; calcaneus (eg, Dwyer or Chambers type procedure), with or without internal fixation
$10,000.00Osteotomy, tarsal bones, other than calcaneus or talus
$10,000.00Package Kit, Drills, Plate, Coticol Screws, Locking Screws-Stryker
$18,963.85propofol 10 mg/mL IV Emulsion 20 mL
$83.31ropivacaine 0.5% Inj Soln 30 mL
$83.31SC-4230SC-4276
$35.24Sodium Chloride 0.9% IV Soln 25 mL
$83.31vancomycin 500 mg IV Inj
$83.31WRNR PT Evaluation Low Complexity BCE
$82.55This 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
$19,812.80Insurance Discount
-$5,547.58Price Negotiated by Insurer
$14,265.22Deductible 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.
AR-8916VSL-03
$1,583.64AR-8935-16AR-8935-18
$119.52AR-8943-01
$61.75ceFAZolin 1 g Pow
$92.28fentaNYL 50 mcg/mL Inj Soln 10 mL
$92.16ferrous gluconate 324 mg (38 mg elemental iron) Tab
$5.76midazolam 5 mg/mL Inj Soln 10 mL
$92.16Package Kit, Drills, Plate, Coticol Screws, Locking Screws-Stryker
$27,307.95propofol 10 mg/mL IV Emulsion 20 mL
$92.28ropivacaine 0.5% Inj Soln 30 mL
$92.28SC-4230SC-4276
$39.04Sodium Chloride 0.9% IV Soln 25 mL
$92.28vancomycin 500 mg IV Inj
$92.28WRNR PT Evaluation Low Complexity BCE
$91.44This 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
$19,812.80Insurance Discount
-$13,732.02Price Negotiated by Insurer
$6,080.78Deductible 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.
AR-8916VSL-03
$1,099.75AR-8935-16AR-8935-18
$83.00AR-8943-01
$42.88Arthrodesis; triple
$23,859.80Bone graft, any donor area; major or large
$13,485.17ceFAZolin 1 g Pow
$64.08fentaNYL 50 mcg/mL Inj Soln 10 mL
$64.00ferrous gluconate 324 mg (38 mg elemental iron) Tab
$4.00midazolam 5 mg/mL Inj Soln 10 mL
$64.00Osteotomy; calcaneus (eg, Dwyer or Chambers type procedure), with or without internal fixation
$13,485.17Osteotomy, tarsal bones, other than calcaneus or talus
$13,485.17Package Kit, Drills, Plate, Coticol Screws, Locking Screws-Stryker
$18,963.85propofol 10 mg/mL IV Emulsion 20 mL
$64.08ropivacaine 0.5% Inj Soln 30 mL
$64.08SC-4230SC-4276
$27.11Sodium Chloride 0.9% IV Soln 25 mL
$64.08vancomycin 500 mg IV Inj
$64.08WRNR PT Evaluation Low Complexity BCE
$180.00This 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
$19,812.80Insurance Discount
-$16,525.89Price Negotiated by Insurer
$3,286.91Deductible 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.
Arthrodesis; triple
$12,897.19Bone graft, any donor area; major or large
$7,289.28Osteotomy; calcaneus (eg, Dwyer or Chambers type procedure), with or without internal fixation
$7,289.28Osteotomy, tarsal bones, other than calcaneus or talus
$7,289.28This 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
$19,812.80Insurance Discount
-$5,547.58Price Negotiated by Insurer
$14,265.22Deductible 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.
AR-8916VSL-03
$1,583.64AR-8935-16AR-8935-18
$119.52AR-8943-01
$61.75ceFAZolin 1 g Pow
$92.28fentaNYL 50 mcg/mL Inj Soln 10 mL
$92.16ferrous gluconate 324 mg (38 mg elemental iron) Tab
$5.76midazolam 5 mg/mL Inj Soln 10 mL
$92.16Package Kit, Drills, Plate, Coticol Screws, Locking Screws-Stryker
$27,307.95propofol 10 mg/mL IV Emulsion 20 mL
$92.28ropivacaine 0.5% Inj Soln 30 mL
$92.28SC-4230SC-4276
$39.04Sodium Chloride 0.9% IV Soln 25 mL
$92.28vancomycin 500 mg IV Inj
$92.28WRNR PT Evaluation Low Complexity BCE
$91.44This 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
$19,812.80Insurance Discount
-$16,525.89Price Negotiated by Insurer
$3,286.91Deductible 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.
AR-8916VSL-03
$299.13AR-8935-16AR-8935-18
$22.58AR-8943-01
$11.66Arthrodesis; triple
$12,897.19Bone graft, any donor area; major or large
$7,289.28ceFAZolin 1 g Pow
$17.43fentaNYL 50 mcg/mL Inj Soln 10 mL
$17.41ferrous gluconate 324 mg (38 mg elemental iron) Tab
$1.09midazolam 5 mg/mL Inj Soln 10 mL
$17.41Osteotomy; calcaneus (eg, Dwyer or Chambers type procedure), with or without internal fixation
$7,289.28Osteotomy, tarsal bones, other than calcaneus or talus
$7,289.28Package Kit, Drills, Plate, Coticol Screws, Locking Screws-Stryker
$5,158.17propofol 10 mg/mL IV Emulsion 20 mL
$17.43ropivacaine 0.5% Inj Soln 30 mL
$17.43SC-4230SC-4276
$7.37Sodium Chloride 0.9% IV Soln 25 mL
$17.43vancomycin 500 mg IV Inj
$17.43WRNR PT Evaluation Low Complexity BCE
$17.27This 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
$19,812.80Insurance Discount
-$16,525.89Price Negotiated by Insurer
$3,286.91Deductible 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.
Arthrodesis; triple
$12,897.19Bone graft, any donor area; major or large
$7,289.28Osteotomy; calcaneus (eg, Dwyer or Chambers type procedure), with or without internal fixation
$7,289.28Osteotomy, tarsal bones, other than calcaneus or talus
$7,289.28This 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
$19,812.80Insurance Discount
-$16,525.89Price Negotiated by Insurer
$3,286.91Deductible 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.
Arthrodesis; triple
$12,897.19Bone graft, any donor area; major or large
$7,289.28Osteotomy; calcaneus (eg, Dwyer or Chambers type procedure), with or without internal fixation
$7,289.28Osteotomy, tarsal bones, other than calcaneus or talus
$7,289.28This 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
$19,812.80Insurance Discount
-$16,525.89Price Negotiated by Insurer
$3,286.91Deductible 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.
Arthrodesis; triple
$12,897.19Bone graft, any donor area; major or large
$7,289.28Osteotomy; calcaneus (eg, Dwyer or Chambers type procedure), with or without internal fixation
$7,289.28Osteotomy, tarsal bones, other than calcaneus or talus
$7,289.28This 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
$19,812.80Insurance Discount
-$16,525.89Price Negotiated by Insurer
$3,286.91Deductible 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.
Arthrodesis; triple
$12,897.19Bone graft, any donor area; major or large
$7,289.28Osteotomy; calcaneus (eg, Dwyer or Chambers type procedure), with or without internal fixation
$7,289.28Osteotomy, tarsal bones, other than calcaneus or talus
$7,289.28This 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
$19,812.80Insurance Discount
-$16,525.89Price Negotiated by Insurer
$3,286.91Deductible 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.
Arthrodesis; triple
$12,897.19Bone graft, any donor area; major or large
$7,289.28Osteotomy; calcaneus (eg, Dwyer or Chambers type procedure), with or without internal fixation
$7,289.28Osteotomy, tarsal bones, other than calcaneus or talus
$7,289.28This 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.