CPT 36430
The standard charge for Transfusion of Blood or Blood Products is $1,493.00. 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
$1,493.00Insurance Discount
-$1,358.63Price Negotiated by Insurer
$134.37Deductible 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.
85025 CBC W/AUTOMATED DIFFERENTIAL
$3.0386901 BLOOD TYPING RH (D)
$1.17Bill Only BB ABO Type
$1.17Bill Only BB Antibody Screen RBC
$3.81CHED 96374- IV Injection, single/initial BCE
$32.40CHED Routine ECG 12 lead/15 lead tracing only BCE
$60.57Comprehensive Metabolic Panel
$4.12Prothrombin Time (PT)
$1.67Red blood cells, each unit
$49.14Therapy, Prophylactic, Diag Each Addl Seq IVP New Drug 96375
$29.70Troponin-I
$4.86This 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
$1,493.00Insurance Discount
-$1,049.82Price Negotiated by Insurer
$443.18Deductible 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
$7.7786901 BLOOD TYPING RH (D)
$2.99Bill Only BB ABO Type
$2.99Bill Only BB Antibody Screen RBC
$9.77CHED 96374- IV Injection, single/initial BCE
$213.67CHED Routine ECG 12 lead/15 lead tracing only BCE
$59.26Comprehensive Metabolic Panel
$10.56Prothrombin Time (PT)
$4.29Red blood cells, each unit
$148.05Therapy, Prophylactic, Diag Each Addl Seq IVP New Drug 96375
$47.04Troponin-I
$12.47This 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
$1,493.00Insurance Discount
-$1,049.82Price Negotiated by Insurer
$443.18Deductible 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
$7.7786901 BLOOD TYPING RH (D)
$2.99Bill Only BB ABO Type
$2.99Bill Only BB Antibody Screen RBC
$9.77CHED 96374- IV Injection, single/initial BCE
$213.67CHED Routine ECG 12 lead/15 lead tracing only BCE
$59.26Comprehensive Metabolic Panel
$10.56Prothrombin Time (PT)
$4.29Red blood cells, each unit
$148.05Therapy, Prophylactic, Diag Each Addl Seq IVP New Drug 96375
$47.04Troponin-I
$12.47This 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
$1,493.00Insurance Discount
-$1,434.53Price Negotiated by Insurer
$58.47Deductible 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
$116.1086901 BLOOD TYPING RH (D)
$33.90Bill Only BB ABO Type
$45.60Bill Only BB Antibody Screen RBC
$75.90CHED 96374- IV Injection, single/initial BCE
$108.00CHED Routine ECG 12 lead/15 lead tracing only BCE
$201.90Comprehensive Metabolic Panel
$198.30Prothrombin Time (PT)
$55.20Red blood cells, each unit
$163.81Therapy, Prophylactic, Diag Each Addl Seq IVP New Drug 96375
$99.00Troponin-I
$132.60This 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
$1,493.00Insurance Discount
-$1,422.98Price Negotiated by Insurer
$70.02Deductible 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
$139.3286901 BLOOD TYPING RH (D)
$40.68Bill Only BB ABO Type
$54.72Bill Only BB Antibody Screen RBC
$91.08CHED 96374- IV Injection, single/initial BCE
$129.60CHED Routine ECG 12 lead/15 lead tracing only BCE
$242.28Comprehensive Metabolic Panel
$237.96Prothrombin Time (PT)
$66.24Red blood cells, each unit
$196.57Therapy, Prophylactic, Diag Each Addl Seq IVP New Drug 96375
$118.80Troponin-I
$159.12This 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
$1,493.00Insurance Discount
-$1,049.82Price Negotiated by Insurer
$443.18Deductible 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
$7.7786901 BLOOD TYPING RH (D)
$2.99Bill Only BB ABO Type
$2.99Bill Only BB Antibody Screen RBC
$9.77CHED 96374- IV Injection, single/initial BCE
$213.67CHED Routine ECG 12 lead/15 lead tracing only BCE
$59.26Comprehensive Metabolic Panel
$10.56Prothrombin Time (PT)
$4.29Red blood cells, each unit
$148.05Therapy, Prophylactic, Diag Each Addl Seq IVP New Drug 96375
$47.04Troponin-I
$12.47This 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
$1,493.00Insurance Discount
-$1,404.77Price Negotiated by Insurer
$88.23Deductible 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
$154.8086901 BLOOD TYPING RH (D)
$45.20Bill Only BB ABO Type
$60.80Bill Only BB Antibody Screen RBC
$101.20CHED 96374- IV Injection, single/initial BCE
$144.00CHED Routine ECG 12 lead/15 lead tracing only BCE
$269.20Comprehensive Metabolic Panel
$264.40Prothrombin Time (PT)
$73.60Red blood cells, each unit
$218.42Therapy, Prophylactic, Diag Each Addl Seq IVP New Drug 96375
$132.00Troponin-I
$176.80This 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
$1,493.00Insurance Discount
-$477.76Price Negotiated by Insurer
$1,015.24Deductible Applied
-Copay
-Coinsurance
-Your insurance company will pay
-You will owe (Estimate)
Some services may incur additional charges based on the exact care required. Listed below are commonly associated charges with this service and the rate negotiated by your insurance plan. These charges are listed to give you an idea of what types of other services are often required, but not all patients will require these specific services.
85025 CBC W/AUTOMATED DIFFERENTIAL
$263.1686901 BLOOD TYPING RH (D)
$76.84Bill Only BB ABO Type
$103.36Bill Only BB Antibody Screen RBC
$172.04CHED 96374- IV Injection, single/initial BCE
$244.80CHED Routine ECG 12 lead/15 lead tracing only BCE
$457.64Comprehensive Metabolic Panel
$449.48Prothrombin Time (PT)
$125.12Red blood cells, each unit
$371.31Therapy, Prophylactic, Diag Each Addl Seq IVP New Drug 96375
$224.40Troponin-I
$300.56This 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
$1,493.00Insurance Discount
-$556.19Price Negotiated by Insurer
$936.81Deductible 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.
86901 BLOOD TYPING RH (D)
$79.31Bill Only BB ABO Type
$282.53Bill Only BB Antibody Screen RBC
$110.66CHED 96374- IV Injection, single/initial BCE
$451.67CHED Routine ECG 12 lead/15 lead tracing only BCE
$125.27Red blood cells, each unit
$312.95Therapy, Prophylactic, Diag Each Addl Seq IVP New Drug 96375
$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
$1,493.00Insurance Discount
-$418.04Price Negotiated by Insurer
$1,074.96Deductible 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
$278.6486901 BLOOD TYPING RH (D)
$81.36Bill Only BB ABO Type
$109.44Bill Only BB Antibody Screen RBC
$182.16CHED 96374- IV Injection, single/initial BCE
$259.20CHED Routine ECG 12 lead/15 lead tracing only BCE
$484.56Comprehensive Metabolic Panel
$475.92Prothrombin Time (PT)
$132.48Red blood cells, each unit
$393.15Therapy, Prophylactic, Diag Each Addl Seq IVP New Drug 96375
$237.60Troponin-I
$318.24This 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
$1,493.00Insurance Discount
-$1,049.82Price Negotiated by Insurer
$443.18Deductible 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
$7.7786901 BLOOD TYPING RH (D)
$2.99Bill Only BB ABO Type
$2.99Bill Only BB Antibody Screen RBC
$9.77CHED 96374- IV Injection, single/initial BCE
$213.67CHED Routine ECG 12 lead/15 lead tracing only BCE
$59.26Comprehensive Metabolic Panel
$10.56Prothrombin Time (PT)
$4.29Red blood cells, each unit
$148.05Therapy, Prophylactic, Diag Each Addl Seq IVP New Drug 96375
$47.04Troponin-I
$12.47This 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
$1,493.00Insurance Discount
-$1,049.82Price Negotiated by Insurer
$443.18Deductible 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
$7.7786901 BLOOD TYPING RH (D)
$2.99Bill Only BB ABO Type
$2.99Bill Only BB Antibody Screen RBC
$9.77CHED 96374- IV Injection, single/initial BCE
$213.67CHED Routine ECG 12 lead/15 lead tracing only BCE
$59.26Comprehensive Metabolic Panel
$10.56Prothrombin Time (PT)
$4.29Red blood cells, each unit
$148.05Therapy, Prophylactic, Diag Each Addl Seq IVP New Drug 96375
$47.04Troponin-I
$12.47This 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
$1,493.00Insurance Discount
-$1,049.82Price Negotiated by Insurer
$443.18Deductible 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
$7.7786901 BLOOD TYPING RH (D)
$2.99Bill Only BB ABO Type
$2.99Bill Only BB Antibody Screen RBC
$9.77CHED 96374- IV Injection, single/initial BCE
$213.67CHED Routine ECG 12 lead/15 lead tracing only BCE
$59.26Comprehensive Metabolic Panel
$10.56Prothrombin Time (PT)
$4.29Red blood cells, each unit
$148.05Therapy, Prophylactic, Diag Each Addl Seq IVP New Drug 96375
$47.04Troponin-I
$12.47This 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
$1,493.00Insurance Discount
-$418.04Price Negotiated by Insurer
$1,074.96Deductible 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
$278.6486901 BLOOD TYPING RH (D)
$81.36Bill Only BB ABO Type
$109.44Bill Only BB Antibody Screen RBC
$182.16CHED 96374- IV Injection, single/initial BCE
$259.20CHED Routine ECG 12 lead/15 lead tracing only BCE
$484.56Comprehensive Metabolic Panel
$475.92Prothrombin Time (PT)
$132.48Red blood cells, each unit
$393.15Therapy, Prophylactic, Diag Each Addl Seq IVP New Drug 96375
$237.60Troponin-I
$318.24This 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
$1,493.00Insurance Discount
-$1,049.82Price Negotiated by Insurer
$443.18Deductible 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
$7.7786901 BLOOD TYPING RH (D)
$2.99Bill Only BB ABO Type
$2.99Bill Only BB Antibody Screen RBC
$9.77CHED 96374- IV Injection, single/initial BCE
$213.67CHED Routine ECG 12 lead/15 lead tracing only BCE
$59.26Comprehensive Metabolic Panel
$10.56Prothrombin Time (PT)
$4.29Red blood cells, each unit
$148.05Therapy, Prophylactic, Diag Each Addl Seq IVP New Drug 96375
$47.04Troponin-I
$12.47This 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
$1,493.00Insurance Discount
-$1,049.82Price Negotiated by Insurer
$443.18Deductible 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
$7.7786901 BLOOD TYPING RH (D)
$2.99Bill Only BB ABO Type
$2.99Bill Only BB Antibody Screen RBC
$9.77CHED 96374- IV Injection, single/initial BCE
$213.67CHED Routine ECG 12 lead/15 lead tracing only BCE
$59.26Comprehensive Metabolic Panel
$10.56Prothrombin Time (PT)
$4.29Red blood cells, each unit
$148.05Therapy, Prophylactic, Diag Each Addl Seq IVP New Drug 96375
$47.04Troponin-I
$12.47This 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
$1,493.00Insurance Discount
-$522.55Price Negotiated by Insurer
$970.45Deductible 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
$251.5586901 BLOOD TYPING RH (D)
$73.45Bill Only BB ABO Type
$98.80Bill Only BB Antibody Screen RBC
$164.45CHED 96374- IV Injection, single/initial BCE
$234.00CHED Routine ECG 12 lead/15 lead tracing only BCE
$437.45Comprehensive Metabolic Panel
$429.65Prothrombin Time (PT)
$119.60Red blood cells, each unit
$354.93Therapy, Prophylactic, Diag Each Addl Seq IVP New Drug 96375
$214.50Troponin-I
$287.30This 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
$1,493.00Insurance Discount
-$522.55Price Negotiated by Insurer
$970.45Deductible 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
$251.5586901 BLOOD TYPING RH (D)
$73.45Bill Only BB ABO Type
$98.80Bill Only BB Antibody Screen RBC
$164.45CHED 96374- IV Injection, single/initial BCE
$234.00CHED Routine ECG 12 lead/15 lead tracing only BCE
$437.45Comprehensive Metabolic Panel
$429.65Prothrombin Time (PT)
$119.60Red blood cells, each unit
$354.93Therapy, Prophylactic, Diag Each Addl Seq IVP New Drug 96375
$214.50Troponin-I
$287.30This 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
$1,493.00Insurance Discount
-$522.55Price Negotiated by Insurer
$970.45Deductible 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
$251.5586901 BLOOD TYPING RH (D)
$73.45Bill Only BB ABO Type
$98.80Bill Only BB Antibody Screen RBC
$164.45CHED 96374- IV Injection, single/initial BCE
$234.00CHED Routine ECG 12 lead/15 lead tracing only BCE
$437.45Comprehensive Metabolic Panel
$429.65Prothrombin Time (PT)
$119.60Red blood cells, each unit
$354.93Therapy, Prophylactic, Diag Each Addl Seq IVP New Drug 96375
$214.50Troponin-I
$287.30This 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
$1,493.00Insurance Discount
-$418.04Price Negotiated by Insurer
$1,074.96Deductible 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
$278.6486901 BLOOD TYPING RH (D)
$81.36Bill Only BB ABO Type
$109.44Bill Only BB Antibody Screen RBC
$182.16CHED 96374- IV Injection, single/initial BCE
$259.20CHED Routine ECG 12 lead/15 lead tracing only BCE
$484.56Comprehensive Metabolic Panel
$475.92Prothrombin Time (PT)
$132.48Red blood cells, each unit
$393.15Therapy, Prophylactic, Diag Each Addl Seq IVP New Drug 96375
$237.60Troponin-I
$318.24This 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
$1,493.00Insurance Discount
-$1,440.81Price Negotiated by Insurer
$52.19Deductible 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
$9.7186901 BLOOD TYPING RH (D)
$3.74Bill Only BB ABO Type
$3.74Bill Only BB Antibody Screen RBC
$12.21CHED 96374- IV Injection, single/initial BCE
$45.26CHED Routine ECG 12 lead/15 lead tracing only BCE
$7.78Comprehensive Metabolic Panel
$13.20Prothrombin Time (PT)
$5.36Red blood cells, each unit
$273.02Therapy, Prophylactic, Diag Each Addl Seq IVP New Drug 96375
$18.93Troponin-I
$15.59This 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
$1,493.00Insurance Discount
-$1,049.82Price Negotiated by Insurer
$443.18Deductible 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
$7.7786901 BLOOD TYPING RH (D)
$2.99Bill Only BB ABO Type
$2.99Bill Only BB Antibody Screen RBC
$9.77CHED 96374- IV Injection, single/initial BCE
$213.67CHED Routine ECG 12 lead/15 lead tracing only BCE
$59.26Comprehensive Metabolic Panel
$10.56Prothrombin Time (PT)
$4.29Red blood cells, each unit
$148.05Therapy, Prophylactic, Diag Each Addl Seq IVP New Drug 96375
$47.04Troponin-I
$12.47This 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
$1,493.00Insurance Discount
-$418.04Price Negotiated by Insurer
$1,074.96Deductible 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
$278.6486901 BLOOD TYPING RH (D)
$81.36Bill Only BB ABO Type
$109.44Bill Only BB Antibody Screen RBC
$182.16CHED 96374- IV Injection, single/initial BCE
$259.20CHED Routine ECG 12 lead/15 lead tracing only BCE
$484.56Comprehensive Metabolic Panel
$475.92Prothrombin Time (PT)
$132.48Red blood cells, each unit
$393.15Therapy, Prophylactic, Diag Each Addl Seq IVP New Drug 96375
$237.60Troponin-I
$318.24This 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
$1,493.00Insurance Discount
-$1,049.82Price Negotiated by Insurer
$443.18Deductible 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
$7.7786901 BLOOD TYPING RH (D)
$2.99Bill Only BB ABO Type
$2.99Bill Only BB Antibody Screen RBC
$9.77CHED 96374- IV Injection, single/initial BCE
$213.67CHED Routine ECG 12 lead/15 lead tracing only BCE
$59.26Comprehensive Metabolic Panel
$10.56Prothrombin Time (PT)
$4.29Red blood cells, each unit
$148.05Therapy, Prophylactic, Diag Each Addl Seq IVP New Drug 96375
$47.04Troponin-I
$12.47This 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
$1,493.00Insurance Discount
-$1,049.82Price Negotiated by Insurer
$443.18Deductible 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
$7.7786901 BLOOD TYPING RH (D)
$2.99Bill Only BB ABO Type
$2.99Bill Only BB Antibody Screen RBC
$9.77CHED 96374- IV Injection, single/initial BCE
$213.67CHED Routine ECG 12 lead/15 lead tracing only BCE
$59.26Comprehensive Metabolic Panel
$10.56Prothrombin Time (PT)
$4.29Red blood cells, each unit
$148.05Therapy, Prophylactic, Diag Each Addl Seq IVP New Drug 96375
$47.04Troponin-I
$12.47This 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
$1,493.00Insurance Discount
-$1,049.82Price Negotiated by Insurer
$443.18Deductible 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
$7.7786901 BLOOD TYPING RH (D)
$2.99Bill Only BB ABO Type
$2.99Bill Only BB Antibody Screen RBC
$9.77CHED 96374- IV Injection, single/initial BCE
$213.67CHED Routine ECG 12 lead/15 lead tracing only BCE
$59.26Comprehensive Metabolic Panel
$10.56Prothrombin Time (PT)
$4.29Red blood cells, each unit
$148.05Therapy, Prophylactic, Diag Each Addl Seq IVP New Drug 96375
$47.04Troponin-I
$12.47This 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
$1,493.00Insurance Discount
-$1,049.82Price Negotiated by Insurer
$443.18Deductible 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
$7.7786901 BLOOD TYPING RH (D)
$2.99Bill Only BB ABO Type
$2.99Bill Only BB Antibody Screen RBC
$9.77CHED 96374- IV Injection, single/initial BCE
$213.67CHED Routine ECG 12 lead/15 lead tracing only BCE
$59.26Comprehensive Metabolic Panel
$10.56Prothrombin Time (PT)
$4.29Red blood cells, each unit
$148.05Therapy, Prophylactic, Diag Each Addl Seq IVP New Drug 96375
$47.04Troponin-I
$12.47This 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
$1,493.00Insurance Discount
-$1,049.82Price Negotiated by Insurer
$443.18Deductible 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
$7.7786901 BLOOD TYPING RH (D)
$2.99Bill Only BB ABO Type
$2.99Bill Only BB Antibody Screen RBC
$9.77CHED 96374- IV Injection, single/initial BCE
$213.67CHED Routine ECG 12 lead/15 lead tracing only BCE
$59.26Comprehensive Metabolic Panel
$10.56Prothrombin Time (PT)
$4.29Red blood cells, each unit
$148.05Therapy, Prophylactic, Diag Each Addl Seq IVP New Drug 96375
$47.04Troponin-I
$12.47This 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
$1,493.00Insurance Discount
-$1,049.82Price Negotiated by Insurer
$443.18Deductible 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
$7.7786901 BLOOD TYPING RH (D)
$2.99Bill Only BB ABO Type
$2.99Bill Only BB Antibody Screen RBC
$9.77CHED 96374- IV Injection, single/initial BCE
$213.67CHED Routine ECG 12 lead/15 lead tracing only BCE
$59.26Comprehensive Metabolic Panel
$10.56Prothrombin Time (PT)
$4.29Red blood cells, each unit
$148.05Therapy, Prophylactic, Diag Each Addl Seq IVP New Drug 96375
$47.04Troponin-I
$12.47This 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.