CPT 76700
The standard charge for Ultrasound of abdomen, complete is $1,598.00. 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
$1,598.00Insurance Discount
-$1,493.25Price Negotiated by Insurer
$104.75Deductible 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.
85025 CBC W/AUTOMATED DIFFERENTIAL
$3.03Comprehensive Metabolic Panel
$4.12ferrous gluconate 324 mg (38 mg elemental iron) Tab
$0.72Urinalysis Microscopic
$1.24This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to White Rock Medical Center so that your price and insurance eligibility can be confirmed.
To verify this rate and discuss any other associated charges to expect, please contact White Rock Medical Center directly at (214) 324-6100.
Total estimated charges
$1,598.00Insurance Discount
-$1,492.98Price 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.
85025 CBC W/AUTOMATED DIFFERENTIAL
$7.77Comprehensive Metabolic Panel
$10.56Intravenous infusion, hydration; each additional hour (List separately in addition to code for prima
$47.04Urinalysis Microscopic
$3.17This 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
$1,598.00Insurance Discount
-$1,492.98Price 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.
85025 CBC W/AUTOMATED DIFFERENTIAL
$7.77Comprehensive Metabolic Panel
$10.56Intravenous infusion, hydration; each additional hour (List separately in addition to code for prima
$47.04Urinalysis Microscopic
$3.17This 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
$1,598.00Insurance Discount
-$1,413.07Price 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.
85025 CBC W/AUTOMATED DIFFERENTIAL
$116.10Comprehensive Metabolic Panel
$198.30ferrous gluconate 324 mg (38 mg elemental iron) Tab
$2.40Urinalysis Microscopic
$56.40This 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
$1,598.00Insurance Discount
-$1,376.08Price 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.
85025 CBC W/AUTOMATED DIFFERENTIAL
$139.32Comprehensive Metabolic Panel
$237.96ferrous gluconate 324 mg (38 mg elemental iron) Tab
$2.88Urinalysis Microscopic
$67.68This 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
$1,598.00Insurance Discount
-$1,492.98Price 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.
85025 CBC W/AUTOMATED DIFFERENTIAL
$7.77Comprehensive Metabolic Panel
$10.56Intravenous infusion, hydration; each additional hour (List separately in addition to code for prima
$47.04Urinalysis Microscopic
$3.17This 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
$1,598.00Insurance Discount
-$1,350.30Price 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.
85025 CBC W/AUTOMATED DIFFERENTIAL
$154.80Comprehensive Metabolic Panel
$264.40ferrous gluconate 324 mg (38 mg elemental iron) Tab
$3.20Urinalysis Microscopic
$75.20This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to White Rock Medical Center so that your price and insurance eligibility can be confirmed.
To verify this rate and discuss any other associated charges to expect, please contact White Rock Medical Center directly at (214) 324-6100.
Total estimated charges
$1,598.00Insurance Discount
-$511.36Price Negotiated by Insurer
$1,086.64Deductible 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.
85025 CBC W/AUTOMATED DIFFERENTIAL
$263.16Comprehensive Metabolic Panel
$449.48ferrous gluconate 324 mg (38 mg elemental iron) Tab
$5.44Urinalysis Microscopic
$127.84This 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
$1,598.00Insurance Discount
-$1,376.00Price 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.
Intravenous infusion, hydration; each additional hour (List separately in addition to code for prima
$99.43This 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
$1,598.00Insurance Discount
-$447.44Price Negotiated by Insurer
$1,150.56Deductible 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.
85025 CBC W/AUTOMATED DIFFERENTIAL
$278.64Comprehensive Metabolic Panel
$475.92ferrous gluconate 324 mg (38 mg elemental iron) Tab
$5.76Urinalysis Microscopic
$135.36This 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
$1,598.00Insurance Discount
-$1,492.98Price 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.
85025 CBC W/AUTOMATED DIFFERENTIAL
$7.77Comprehensive Metabolic Panel
$10.56Intravenous infusion, hydration; each additional hour (List separately in addition to code for prima
$47.04Urinalysis Microscopic
$3.17This 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
$1,598.00Insurance Discount
-$1,492.98Price 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.
85025 CBC W/AUTOMATED DIFFERENTIAL
$7.77Comprehensive Metabolic Panel
$10.56Intravenous infusion, hydration; each additional hour (List separately in addition to code for prima
$47.04Urinalysis Microscopic
$3.17This 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
$1,598.00Insurance Discount
-$1,492.98Price 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.
85025 CBC W/AUTOMATED DIFFERENTIAL
$7.77Comprehensive Metabolic Panel
$10.56Intravenous infusion, hydration; each additional hour (List separately in addition to code for prima
$47.04Urinalysis Microscopic
$3.17This 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
$1,598.00Insurance Discount
-$447.44Price Negotiated by Insurer
$1,150.56Deductible 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.
85025 CBC W/AUTOMATED DIFFERENTIAL
$278.64Comprehensive Metabolic Panel
$475.92ferrous gluconate 324 mg (38 mg elemental iron) Tab
$5.76Urinalysis Microscopic
$135.36This 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
$1,598.00Insurance Discount
-$1,492.98Price 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.
85025 CBC W/AUTOMATED DIFFERENTIAL
$7.77Comprehensive Metabolic Panel
$10.56Intravenous infusion, hydration; each additional hour (List separately in addition to code for prima
$47.04Urinalysis Microscopic
$3.17This 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
$1,598.00Insurance Discount
-$1,492.98Price 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.
85025 CBC W/AUTOMATED DIFFERENTIAL
$7.77Comprehensive Metabolic Panel
$10.56Intravenous infusion, hydration; each additional hour (List separately in addition to code for prima
$47.04Urinalysis Microscopic
$3.17This 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
$1,598.00Insurance Discount
-$559.30Price Negotiated by Insurer
$1,038.70Deductible 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.
85025 CBC W/AUTOMATED DIFFERENTIAL
$251.55Comprehensive Metabolic Panel
$429.65ferrous gluconate 324 mg (38 mg elemental iron) Tab
$5.20Intravenous infusion, hydration; each additional hour (List separately in addition to code for prima
$10,000.00Urinalysis Microscopic
$122.20This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to White Rock Medical Center so that your price and insurance eligibility can be confirmed.
To verify this rate and discuss any other associated charges to expect, please contact White Rock Medical Center directly at (214) 324-6100.
Total estimated charges
$1,598.00Insurance Discount
-$559.30Price Negotiated by Insurer
$1,038.70Deductible 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.
85025 CBC W/AUTOMATED DIFFERENTIAL
$251.55Comprehensive Metabolic Panel
$429.65ferrous gluconate 324 mg (38 mg elemental iron) Tab
$5.20Intravenous infusion, hydration; each additional hour (List separately in addition to code for prima
$10,000.00Urinalysis Microscopic
$122.20This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to White Rock Medical Center so that your price and insurance eligibility can be confirmed.
To verify this rate and discuss any other associated charges to expect, please contact White Rock Medical Center directly at (214) 324-6100.
Total estimated charges
$1,598.00Insurance Discount
-$559.30Price Negotiated by Insurer
$1,038.70Deductible 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.
85025 CBC W/AUTOMATED DIFFERENTIAL
$251.55Comprehensive Metabolic Panel
$429.65ferrous gluconate 324 mg (38 mg elemental iron) Tab
$5.20Intravenous infusion, hydration; each additional hour (List separately in addition to code for prima
$10,000.00Urinalysis Microscopic
$122.20This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to White Rock Medical Center so that your price and insurance eligibility can be confirmed.
To verify this rate and discuss any other associated charges to expect, please contact White Rock Medical Center directly at (214) 324-6100.
Total estimated charges
$1,598.00Insurance Discount
-$447.44Price Negotiated by Insurer
$1,150.56Deductible 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.
85025 CBC W/AUTOMATED DIFFERENTIAL
$278.64Comprehensive Metabolic Panel
$475.92ferrous gluconate 324 mg (38 mg elemental iron) Tab
$5.76Urinalysis Microscopic
$135.36This 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
$1,598.00Insurance Discount
-$799.00Price Negotiated by Insurer
$799.00Deductible 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.
85025 CBC W/AUTOMATED DIFFERENTIAL
$9.71Comprehensive Metabolic Panel
$13.20ferrous gluconate 324 mg (38 mg elemental iron) Tab
$4.00Urinalysis Microscopic
$3.96This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to White Rock Medical Center so that your price and insurance eligibility can be confirmed.
To verify this rate and discuss any other associated charges to expect, please contact White Rock Medical Center directly at (214) 324-6100.
Total estimated charges
$1,598.00Insurance Discount
-$1,492.98Price 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.
85025 CBC W/AUTOMATED DIFFERENTIAL
$7.77Comprehensive Metabolic Panel
$10.56Intravenous infusion, hydration; each additional hour (List separately in addition to code for prima
$47.04Urinalysis Microscopic
$3.17This 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
$1,598.00Insurance Discount
-$447.44Price Negotiated by Insurer
$1,150.56Deductible 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.
85025 CBC W/AUTOMATED DIFFERENTIAL
$278.64Comprehensive Metabolic Panel
$475.92ferrous gluconate 324 mg (38 mg elemental iron) Tab
$5.76Urinalysis Microscopic
$135.36This 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
$1,598.00Insurance Discount
-$1,492.98Price 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.
85025 CBC W/AUTOMATED DIFFERENTIAL
$7.77Comprehensive Metabolic Panel
$10.56ferrous gluconate 324 mg (38 mg elemental iron) Tab
$1.09Intravenous infusion, hydration; each additional hour (List separately in addition to code for prima
$47.04Urinalysis Microscopic
$3.17This 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
$1,598.00Insurance Discount
-$1,492.98Price 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.
85025 CBC W/AUTOMATED DIFFERENTIAL
$7.77Comprehensive Metabolic Panel
$10.56Intravenous infusion, hydration; each additional hour (List separately in addition to code for prima
$47.04Urinalysis Microscopic
$3.17This 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
$1,598.00Insurance Discount
-$1,492.98Price 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.
85025 CBC W/AUTOMATED DIFFERENTIAL
$7.77Comprehensive Metabolic Panel
$10.56Intravenous infusion, hydration; each additional hour (List separately in addition to code for prima
$47.04Urinalysis Microscopic
$3.17This 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
$1,598.00Insurance Discount
-$1,492.98Price 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.
85025 CBC W/AUTOMATED DIFFERENTIAL
$7.77Comprehensive Metabolic Panel
$10.56Intravenous infusion, hydration; each additional hour (List separately in addition to code for prima
$47.04Urinalysis Microscopic
$3.17This 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
$1,598.00Insurance Discount
-$1,492.98Price 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.
85025 CBC W/AUTOMATED DIFFERENTIAL
$7.77Comprehensive Metabolic Panel
$10.56Intravenous infusion, hydration; each additional hour (List separately in addition to code for prima
$47.04Urinalysis Microscopic
$3.17This 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
$1,598.00Insurance Discount
-$1,492.98Price 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.
85025 CBC W/AUTOMATED DIFFERENTIAL
$7.77Comprehensive Metabolic Panel
$10.56Intravenous infusion, hydration; each additional hour (List separately in addition to code for prima
$47.04Urinalysis Microscopic
$3.17This 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.