CPT 70498
The standard charge for CTA scan of neck is $8,782.00. 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
$8,782.00Insurance Discount
-$8,606.94Price Negotiated by Insurer
$175.06Deductible 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
$3.03CHED 99285 - Level 5 BCE
$280.00CHED Routine ECG 12 lead/15 lead tracing only BCE
$60.57Comprehensive Metabolic Panel
$4.12CT Angio Brain/Head
$175.06CT Brain Stroke Protocol w/o Contrast
$104.75ferrous gluconate 324 mg (38 mg elemental iron) Tab
$0.72iodixanol 320 mg/mL Inj Soln 100 mL
$19.53Prothrombin Time (PT)
$1.67sterile water Inj Soln 10 mL
$11.54Thromboplastin time, partial (PTT); plasma or whole blood
$2.34Troponin-I
$4.86XR Chest
$25.73This 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
$8,782.00Insurance Discount
-$8,605.80Price Negotiated by Insurer
$176.20Deductible Applied
-Copay
-Coinsurance
-Your insurance company will pay
-You will owe (Estimate)
Some services may incur additional charges based on the exact care required. Listed below are commonly associated charges with this service and the rate negotiated by your insurance plan. These charges are listed to give you an idea of what types of other services are often required, but not all patients will require these specific services.
85025 CBC W/AUTOMATED DIFFERENTIAL
$7.77CHED 99285 - Level 5 BCE
$598.24CHED Routine ECG 12 lead/15 lead tracing only BCE
$59.26Comprehensive Metabolic Panel
$10.56CT Angio Brain/Head
$176.20CT Brain Stroke Protocol w/o Contrast
$105.02Prothrombin Time (PT)
$4.29Thromboplastin time, partial (PTT); plasma or whole blood
$6.01Troponin-I
$12.47XR Chest
$87.42This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to White Rock Medical Center so that your price and insurance eligibility can be confirmed.
To verify this rate and discuss any other associated charges to expect, please contact White Rock Medical Center directly at (214) 324-6100.
Total estimated charges
$8,782.00Insurance Discount
-$8,605.80Price Negotiated by Insurer
$176.20Deductible Applied
-Copay
-Coinsurance
-Your insurance company will pay
-You will owe (Estimate)
Some services may incur additional charges based on the exact care required. Listed below are commonly associated charges with this service and the rate negotiated by your insurance plan. These charges are listed to give you an idea of what types of other services are often required, but not all patients will require these specific services.
85025 CBC W/AUTOMATED DIFFERENTIAL
$7.77CHED 99285 - Level 5 BCE
$598.24CHED Routine ECG 12 lead/15 lead tracing only BCE
$59.26Comprehensive Metabolic Panel
$10.56CT Angio Brain/Head
$176.20CT Brain Stroke Protocol w/o Contrast
$105.02Prothrombin Time (PT)
$4.29Thromboplastin time, partial (PTT); plasma or whole blood
$6.01Troponin-I
$12.47XR Chest
$87.42This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to White Rock Medical Center so that your price and insurance eligibility can be confirmed.
To verify this rate and discuss any other associated charges to expect, please contact White Rock Medical Center directly at (214) 324-6100.
Total estimated charges
$8,782.00Insurance Discount
-$8,481.34Price Negotiated by Insurer
$300.66Deductible 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
$116.10CHED 99285 - Level 5 BCE
$2,640.00CHED Routine ECG 12 lead/15 lead tracing only BCE
$201.90Comprehensive Metabolic Panel
$198.30CT Angio Brain/Head
$300.66CT Brain Stroke Protocol w/o Contrast
$184.93ferrous gluconate 324 mg (38 mg elemental iron) Tab
$2.40iodixanol 320 mg/mL Inj Soln 100 mL
$0.46Prothrombin Time (PT)
$55.20sterile water Inj Soln 10 mL
$0.64Thromboplastin time, partial (PTT); plasma or whole blood
$66.00Troponin-I
$132.60XR Chest
$131.69This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to White Rock Medical Center so that your price and insurance eligibility can be confirmed.
To verify this rate and discuss any other associated charges to expect, please contact White Rock Medical Center directly at (214) 324-6100.
Total estimated charges
$8,782.00Insurance Discount
-$8,421.20Price Negotiated by Insurer
$360.80Deductible Applied
-Copay
-Coinsurance
-Your insurance company will pay
-You will owe (Estimate)
Some services may incur additional charges based on the exact care required. Listed below are commonly associated charges with this service and the rate negotiated by your insurance plan. These charges are listed to give you an idea of what types of other services are often required, but not all patients will require these specific services.
85025 CBC W/AUTOMATED DIFFERENTIAL
$139.32CHED 99285 - Level 5 BCE
$3,168.00CHED Routine ECG 12 lead/15 lead tracing only BCE
$242.28Comprehensive Metabolic Panel
$237.96CT Angio Brain/Head
$360.80CT Brain Stroke Protocol w/o Contrast
$221.92ferrous gluconate 324 mg (38 mg elemental iron) Tab
$2.88iodixanol 320 mg/mL Inj Soln 100 mL
$0.56Prothrombin Time (PT)
$66.24sterile water Inj Soln 10 mL
$0.77Thromboplastin time, partial (PTT); plasma or whole blood
$79.20Troponin-I
$159.12XR Chest
$158.02This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to White Rock Medical Center so that your price and insurance eligibility can be confirmed.
To verify this rate and discuss any other associated charges to expect, please contact White Rock Medical Center directly at (214) 324-6100.
Total estimated charges
$8,782.00Insurance Discount
-$8,605.80Price Negotiated by Insurer
$176.20Deductible Applied
-Copay
-Coinsurance
-Your insurance company will pay
-You will owe (Estimate)
Some services may incur additional charges based on the exact care required. Listed below are commonly associated charges with this service and the rate negotiated by your insurance plan. These charges are listed to give you an idea of what types of other services are often required, but not all patients will require these specific services.
85025 CBC W/AUTOMATED DIFFERENTIAL
$7.77CHED 99285 - Level 5 BCE
$598.24CHED Routine ECG 12 lead/15 lead tracing only BCE
$59.26Comprehensive Metabolic Panel
$10.56CT Angio Brain/Head
$176.20CT Brain Stroke Protocol w/o Contrast
$105.02Prothrombin Time (PT)
$4.29Thromboplastin time, partial (PTT); plasma or whole blood
$6.01Troponin-I
$12.47XR Chest
$87.42This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to White Rock Medical Center so that your price and insurance eligibility can be confirmed.
To verify this rate and discuss any other associated charges to expect, please contact White Rock Medical Center directly at (214) 324-6100.
Total estimated charges
$8,782.00Insurance Discount
-$8,379.29Price Negotiated by Insurer
$402.71Deductible 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
$154.80CHED 99285 - Level 5 BCE
$3,520.00CHED Routine ECG 12 lead/15 lead tracing only BCE
$269.20Comprehensive Metabolic Panel
$264.40CT Angio Brain/Head
$402.71CT Brain Stroke Protocol w/o Contrast
$247.70ferrous gluconate 324 mg (38 mg elemental iron) Tab
$3.20iodixanol 320 mg/mL Inj Soln 100 mL
$0.62Prothrombin Time (PT)
$73.60sterile water Inj Soln 10 mL
$0.85Thromboplastin time, partial (PTT); plasma or whole blood
$88.00Troponin-I
$176.80XR Chest
$176.38This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to White Rock Medical Center so that your price and insurance eligibility can be confirmed.
To verify this rate and discuss any other associated charges to expect, please contact White Rock Medical Center directly at (214) 324-6100.
Total estimated charges
$8,782.00Insurance Discount
-$2,810.24Price Negotiated by Insurer
$5,971.76Deductible 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
$263.16CHED 99285 - Level 5 BCE
$2,067.20CHED Routine ECG 12 lead/15 lead tracing only BCE
$457.64Comprehensive Metabolic Panel
$449.48CT Angio Brain/Head
$4,727.36CT Brain Stroke Protocol w/o Contrast
$3,056.60ferrous gluconate 324 mg (38 mg elemental iron) Tab
$5.44iodixanol 320 mg/mL Inj Soln 100 mL
$147.56Prothrombin Time (PT)
$125.12sterile water Inj Soln 10 mL
$87.16Thromboplastin time, partial (PTT); plasma or whole blood
$149.60Troponin-I
$300.56XR Chest
$451.52This 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
$8,782.00Insurance Discount
-$8,409.54Price Negotiated by Insurer
$372.46Deductible Applied
-Copay
-Coinsurance
-Your insurance company will pay
-You will owe (Estimate)
Some services may incur additional charges based on the exact care required. Listed below are commonly associated charges with this service and the rate negotiated by your insurance plan. These charges are listed to give you an idea of what types of other services are often required, but not all patients will require these specific services.
CHED 99285 - Level 5 BCE
$2,968.44CHED Routine ECG 12 lead/15 lead tracing only BCE
$125.27CT Angio Brain/Head
$372.46CT Brain Stroke Protocol w/o Contrast
$222.00XR Chest
$184.79This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to White Rock Medical Center so that your price and insurance eligibility can be confirmed.
To verify this rate and discuss any other associated charges to expect, please contact White Rock Medical Center directly at (214) 324-6100.
Total estimated charges
$8,782.00Insurance Discount
-$2,458.96Price Negotiated by Insurer
$6,323.04Deductible 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
$278.64CHED 99285 - Level 5 BCE
$2,188.80CHED Routine ECG 12 lead/15 lead tracing only BCE
$484.56Comprehensive Metabolic Panel
$475.92CT Angio Brain/Head
$5,005.44CT Brain Stroke Protocol w/o Contrast
$3,236.40ferrous gluconate 324 mg (38 mg elemental iron) Tab
$5.76iodixanol 320 mg/mL Inj Soln 100 mL
$156.24Prothrombin Time (PT)
$132.48sterile water Inj Soln 10 mL
$92.28Thromboplastin time, partial (PTT); plasma or whole blood
$158.40Troponin-I
$318.24XR Chest
$478.08This 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
$8,782.00Insurance Discount
-$8,605.80Price Negotiated by Insurer
$176.20Deductible Applied
-Copay
-Coinsurance
-Your insurance company will pay
-You will owe (Estimate)
Some services may incur additional charges based on the exact care required. Listed below are commonly associated charges with this service and the rate negotiated by your insurance plan. These charges are listed to give you an idea of what types of other services are often required, but not all patients will require these specific services.
85025 CBC W/AUTOMATED DIFFERENTIAL
$7.77CHED 99285 - Level 5 BCE
$598.24CHED Routine ECG 12 lead/15 lead tracing only BCE
$59.26Comprehensive Metabolic Panel
$10.56CT Angio Brain/Head
$176.20CT Brain Stroke Protocol w/o Contrast
$105.02Prothrombin Time (PT)
$4.29Thromboplastin time, partial (PTT); plasma or whole blood
$6.01Troponin-I
$12.47XR Chest
$87.42This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to White Rock Medical Center so that your price and insurance eligibility can be confirmed.
To verify this rate and discuss any other associated charges to expect, please contact White Rock Medical Center directly at (214) 324-6100.
Total estimated charges
$8,782.00Insurance Discount
-$8,605.80Price Negotiated by Insurer
$176.20Deductible Applied
-Copay
-Coinsurance
-Your insurance company will pay
-You will owe (Estimate)
Some services may incur additional charges based on the exact care required. Listed below are commonly associated charges with this service and the rate negotiated by your insurance plan. These charges are listed to give you an idea of what types of other services are often required, but not all patients will require these specific services.
85025 CBC W/AUTOMATED DIFFERENTIAL
$7.77CHED 99285 - Level 5 BCE
$598.24CHED Routine ECG 12 lead/15 lead tracing only BCE
$59.26Comprehensive Metabolic Panel
$10.56CT Angio Brain/Head
$176.20CT Brain Stroke Protocol w/o Contrast
$105.02Prothrombin Time (PT)
$4.29Thromboplastin time, partial (PTT); plasma or whole blood
$6.01Troponin-I
$12.47XR Chest
$87.42This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to White Rock Medical Center so that your price and insurance eligibility can be confirmed.
To verify this rate and discuss any other associated charges to expect, please contact White Rock Medical Center directly at (214) 324-6100.
Total estimated charges
$8,782.00Insurance Discount
-$8,605.80Price Negotiated by Insurer
$176.20Deductible Applied
-Copay
-Coinsurance
-Your insurance company will pay
-You will owe (Estimate)
Some services may incur additional charges based on the exact care required. Listed below are commonly associated charges with this service and the rate negotiated by your insurance plan. These charges are listed to give you an idea of what types of other services are often required, but not all patients will require these specific services.
85025 CBC W/AUTOMATED DIFFERENTIAL
$7.77CHED 99285 - Level 5 BCE
$598.24CHED Routine ECG 12 lead/15 lead tracing only BCE
$59.26Comprehensive Metabolic Panel
$10.56CT Angio Brain/Head
$176.20CT Brain Stroke Protocol w/o Contrast
$105.02Prothrombin Time (PT)
$4.29Thromboplastin time, partial (PTT); plasma or whole blood
$6.01Troponin-I
$12.47XR Chest
$87.42This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to White Rock Medical Center so that your price and insurance eligibility can be confirmed.
To verify this rate and discuss any other associated charges to expect, please contact White Rock Medical Center directly at (214) 324-6100.
Total estimated charges
$8,782.00Insurance Discount
-$2,458.96Price Negotiated by Insurer
$6,323.04Deductible 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
$278.64CHED 99285 - Level 5 BCE
$2,188.80CHED Routine ECG 12 lead/15 lead tracing only BCE
$484.56Comprehensive Metabolic Panel
$475.92CT Angio Brain/Head
$5,005.44CT Brain Stroke Protocol w/o Contrast
$3,236.40ferrous gluconate 324 mg (38 mg elemental iron) Tab
$5.76iodixanol 320 mg/mL Inj Soln 100 mL
$156.24Prothrombin Time (PT)
$132.48sterile water Inj Soln 10 mL
$92.28Thromboplastin time, partial (PTT); plasma or whole blood
$158.40Troponin-I
$318.24XR Chest
$478.08This 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
$8,782.00Insurance Discount
-$8,605.80Price Negotiated by Insurer
$176.20Deductible Applied
-Copay
-Coinsurance
-Your insurance company will pay
-You will owe (Estimate)
Some services may incur additional charges based on the exact care required. Listed below are commonly associated charges with this service and the rate negotiated by your insurance plan. These charges are listed to give you an idea of what types of other services are often required, but not all patients will require these specific services.
85025 CBC W/AUTOMATED DIFFERENTIAL
$7.77CHED 99285 - Level 5 BCE
$598.24CHED Routine ECG 12 lead/15 lead tracing only BCE
$59.26Comprehensive Metabolic Panel
$10.56CT Angio Brain/Head
$176.20CT Brain Stroke Protocol w/o Contrast
$105.02Prothrombin Time (PT)
$4.29Thromboplastin time, partial (PTT); plasma or whole blood
$6.01Troponin-I
$12.47XR Chest
$87.42This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to White Rock Medical Center so that your price and insurance eligibility can be confirmed.
To verify this rate and discuss any other associated charges to expect, please contact White Rock Medical Center directly at (214) 324-6100.
Total estimated charges
$8,782.00Insurance Discount
-$8,605.80Price Negotiated by Insurer
$176.20Deductible Applied
-Copay
-Coinsurance
-Your insurance company will pay
-You will owe (Estimate)
Some services may incur additional charges based on the exact care required. Listed below are commonly associated charges with this service and the rate negotiated by your insurance plan. These charges are listed to give you an idea of what types of other services are often required, but not all patients will require these specific services.
85025 CBC W/AUTOMATED DIFFERENTIAL
$7.77CHED 99285 - Level 5 BCE
$598.24CHED Routine ECG 12 lead/15 lead tracing only BCE
$59.26Comprehensive Metabolic Panel
$10.56CT Angio Brain/Head
$176.20CT Brain Stroke Protocol w/o Contrast
$105.02Prothrombin Time (PT)
$4.29Thromboplastin time, partial (PTT); plasma or whole blood
$6.01Troponin-I
$12.47XR Chest
$87.42This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to White Rock Medical Center so that your price and insurance eligibility can be confirmed.
To verify this rate and discuss any other associated charges to expect, please contact White Rock Medical Center directly at (214) 324-6100.
Total estimated charges
$8,782.00Insurance Discount
-$3,073.70Price Negotiated by Insurer
$5,708.30Deductible 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
$251.55CHED 99285 - Level 5 BCE
$1,976.00CHED Routine ECG 12 lead/15 lead tracing only BCE
$437.45Comprehensive Metabolic Panel
$429.65CT Angio Brain/Head
$4,518.80CT Brain Stroke Protocol w/o Contrast
$2,921.75ferrous gluconate 324 mg (38 mg elemental iron) Tab
$5.20iodixanol 320 mg/mL Inj Soln 100 mL
$141.05Prothrombin Time (PT)
$119.60sterile water Inj Soln 10 mL
$83.31Thromboplastin time, partial (PTT); plasma or whole blood
$143.00Troponin-I
$287.30XR Chest
$431.60This 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
$8,782.00Insurance Discount
-$3,073.70Price Negotiated by Insurer
$5,708.30Deductible 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
$251.55CHED 99285 - Level 5 BCE
$1,976.00CHED Routine ECG 12 lead/15 lead tracing only BCE
$437.45Comprehensive Metabolic Panel
$429.65CT Angio Brain/Head
$4,518.80CT Brain Stroke Protocol w/o Contrast
$2,921.75ferrous gluconate 324 mg (38 mg elemental iron) Tab
$5.20iodixanol 320 mg/mL Inj Soln 100 mL
$141.05Prothrombin Time (PT)
$119.60sterile water Inj Soln 10 mL
$83.31Thromboplastin time, partial (PTT); plasma or whole blood
$143.00Troponin-I
$287.30XR Chest
$431.60This 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
$8,782.00Insurance Discount
-$3,073.70Price Negotiated by Insurer
$5,708.30Deductible 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
$251.55CHED 99285 - Level 5 BCE
$1,976.00CHED Routine ECG 12 lead/15 lead tracing only BCE
$437.45Comprehensive Metabolic Panel
$429.65CT Angio Brain/Head
$4,518.80CT Brain Stroke Protocol w/o Contrast
$2,921.75ferrous gluconate 324 mg (38 mg elemental iron) Tab
$5.20iodixanol 320 mg/mL Inj Soln 100 mL
$141.05Prothrombin Time (PT)
$119.60sterile water Inj Soln 10 mL
$83.31Thromboplastin time, partial (PTT); plasma or whole blood
$143.00Troponin-I
$287.30XR Chest
$431.60This 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
$8,782.00Insurance Discount
-$2,458.96Price Negotiated by Insurer
$6,323.04Deductible 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
$278.64CHED 99285 - Level 5 BCE
$2,188.80CHED Routine ECG 12 lead/15 lead tracing only BCE
$484.56Comprehensive Metabolic Panel
$475.92CT Angio Brain/Head
$5,005.44CT Brain Stroke Protocol w/o Contrast
$3,236.40ferrous gluconate 324 mg (38 mg elemental iron) Tab
$5.76iodixanol 320 mg/mL Inj Soln 100 mL
$156.24Prothrombin Time (PT)
$132.48sterile water Inj Soln 10 mL
$92.28Thromboplastin time, partial (PTT); plasma or whole blood
$158.40Troponin-I
$318.24XR Chest
$478.08This 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
$8,782.00Insurance Discount
-$4,391.00Price Negotiated by Insurer
$4,391.00Deductible 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
$9.71CHED 99285 - Level 5 BCE
$2,900.00CHED Routine ECG 12 lead/15 lead tracing only BCE
$336.50Comprehensive Metabolic Panel
$13.20CT Angio Brain/Head
$3,476.00CT Brain Stroke Protocol w/o Contrast
$2,247.50ferrous gluconate 324 mg (38 mg elemental iron) Tab
$4.00iodixanol 320 mg/mL Inj Soln 100 mL
$108.50Prothrombin Time (PT)
$5.36sterile water Inj Soln 10 mL
$64.08Thromboplastin time, partial (PTT); plasma or whole blood
$7.51Troponin-I
$15.59XR Chest
$131.13This 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
$8,782.00Insurance Discount
-$8,605.80Price Negotiated by Insurer
$176.20Deductible Applied
-Copay
-Coinsurance
-Your insurance company will pay
-You will owe (Estimate)
Some services may incur additional charges based on the exact care required. Listed below are commonly associated charges with this service and the rate negotiated by your insurance plan. These charges are listed to give you an idea of what types of other services are often required, but not all patients will require these specific services.
85025 CBC W/AUTOMATED DIFFERENTIAL
$7.77CHED 99285 - Level 5 BCE
$598.24CHED Routine ECG 12 lead/15 lead tracing only BCE
$59.26Comprehensive Metabolic Panel
$10.56CT Angio Brain/Head
$176.20CT Brain Stroke Protocol w/o Contrast
$105.02Prothrombin Time (PT)
$4.29Thromboplastin time, partial (PTT); plasma or whole blood
$6.01Troponin-I
$12.47XR Chest
$87.42This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to White Rock Medical Center so that your price and insurance eligibility can be confirmed.
To verify this rate and discuss any other associated charges to expect, please contact White Rock Medical Center directly at (214) 324-6100.
Total estimated charges
$8,782.00Insurance Discount
-$2,458.96Price Negotiated by Insurer
$6,323.04Deductible 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
$278.64CHED 99285 - Level 5 BCE
$2,188.80CHED Routine ECG 12 lead/15 lead tracing only BCE
$484.56Comprehensive Metabolic Panel
$475.92CT Angio Brain/Head
$5,005.44CT Brain Stroke Protocol w/o Contrast
$3,236.40ferrous gluconate 324 mg (38 mg elemental iron) Tab
$5.76iodixanol 320 mg/mL Inj Soln 100 mL
$156.24Prothrombin Time (PT)
$132.48sterile water Inj Soln 10 mL
$92.28Thromboplastin time, partial (PTT); plasma or whole blood
$158.40Troponin-I
$318.24XR Chest
$478.08This 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
$8,782.00Insurance Discount
-$8,605.80Price Negotiated by Insurer
$176.20Deductible Applied
-Copay
-Coinsurance
-Your insurance company will pay
-You will owe (Estimate)
Some services may incur additional charges based on the exact care required. Listed below are commonly associated charges with this service and the rate negotiated by your insurance plan. These charges are listed to give you an idea of what types of other services are often required, but not all patients will require these specific services.
85025 CBC W/AUTOMATED DIFFERENTIAL
$7.77CHED 99285 - Level 5 BCE
$598.24CHED Routine ECG 12 lead/15 lead tracing only BCE
$59.26Comprehensive Metabolic Panel
$10.56CT Angio Brain/Head
$176.20CT Brain Stroke Protocol w/o Contrast
$105.02ferrous gluconate 324 mg (38 mg elemental iron) Tab
$1.09iodixanol 320 mg/mL Inj Soln 100 mL
$29.51Prothrombin Time (PT)
$4.29sterile water Inj Soln 10 mL
$17.43Thromboplastin time, partial (PTT); plasma or whole blood
$6.01Troponin-I
$12.47XR Chest
$87.42This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to White Rock Medical Center so that your price and insurance eligibility can be confirmed.
To verify this rate and discuss any other associated charges to expect, please contact White Rock Medical Center directly at (214) 324-6100.
Total estimated charges
$8,782.00Insurance Discount
-$8,605.80Price Negotiated by Insurer
$176.20Deductible Applied
-Copay
-Coinsurance
-Your insurance company will pay
-You will owe (Estimate)
Some services may incur additional charges based on the exact care required. Listed below are commonly associated charges with this service and the rate negotiated by your insurance plan. These charges are listed to give you an idea of what types of other services are often required, but not all patients will require these specific services.
85025 CBC W/AUTOMATED DIFFERENTIAL
$7.77CHED 99285 - Level 5 BCE
$598.24CHED Routine ECG 12 lead/15 lead tracing only BCE
$59.26Comprehensive Metabolic Panel
$10.56CT Angio Brain/Head
$176.20CT Brain Stroke Protocol w/o Contrast
$105.02Prothrombin Time (PT)
$4.29Thromboplastin time, partial (PTT); plasma or whole blood
$6.01Troponin-I
$12.47XR Chest
$87.42This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to White Rock Medical Center so that your price and insurance eligibility can be confirmed.
To verify this rate and discuss any other associated charges to expect, please contact White Rock Medical Center directly at (214) 324-6100.
Total estimated charges
$8,782.00Insurance Discount
-$8,605.80Price Negotiated by Insurer
$176.20Deductible Applied
-Copay
-Coinsurance
-Your insurance company will pay
-You will owe (Estimate)
Some services may incur additional charges based on the exact care required. Listed below are commonly associated charges with this service and the rate negotiated by your insurance plan. These charges are listed to give you an idea of what types of other services are often required, but not all patients will require these specific services.
85025 CBC W/AUTOMATED DIFFERENTIAL
$7.77CHED 99285 - Level 5 BCE
$598.24CHED Routine ECG 12 lead/15 lead tracing only BCE
$59.26Comprehensive Metabolic Panel
$10.56CT Angio Brain/Head
$176.20CT Brain Stroke Protocol w/o Contrast
$105.02Prothrombin Time (PT)
$4.29Thromboplastin time, partial (PTT); plasma or whole blood
$6.01Troponin-I
$12.47XR Chest
$87.42This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to White Rock Medical Center so that your price and insurance eligibility can be confirmed.
To verify this rate and discuss any other associated charges to expect, please contact White Rock Medical Center directly at (214) 324-6100.
Total estimated charges
$8,782.00Insurance Discount
-$8,605.80Price Negotiated by Insurer
$176.20Deductible Applied
-Copay
-Coinsurance
-Your insurance company will pay
-You will owe (Estimate)
Some services may incur additional charges based on the exact care required. Listed below are commonly associated charges with this service and the rate negotiated by your insurance plan. These charges are listed to give you an idea of what types of other services are often required, but not all patients will require these specific services.
85025 CBC W/AUTOMATED DIFFERENTIAL
$7.77CHED 99285 - Level 5 BCE
$598.24CHED Routine ECG 12 lead/15 lead tracing only BCE
$59.26Comprehensive Metabolic Panel
$10.56CT Angio Brain/Head
$176.20CT Brain Stroke Protocol w/o Contrast
$105.02Prothrombin Time (PT)
$4.29Thromboplastin time, partial (PTT); plasma or whole blood
$6.01Troponin-I
$12.47XR Chest
$87.42This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to White Rock Medical Center so that your price and insurance eligibility can be confirmed.
To verify this rate and discuss any other associated charges to expect, please contact White Rock Medical Center directly at (214) 324-6100.
Total estimated charges
$8,782.00Insurance Discount
-$8,605.80Price Negotiated by Insurer
$176.20Deductible Applied
-Copay
-Coinsurance
-Your insurance company will pay
-You will owe (Estimate)
Some services may incur additional charges based on the exact care required. Listed below are commonly associated charges with this service and the rate negotiated by your insurance plan. These charges are listed to give you an idea of what types of other services are often required, but not all patients will require these specific services.
85025 CBC W/AUTOMATED DIFFERENTIAL
$7.77CHED 99285 - Level 5 BCE
$598.24CHED Routine ECG 12 lead/15 lead tracing only BCE
$59.26Comprehensive Metabolic Panel
$10.56CT Angio Brain/Head
$176.20CT Brain Stroke Protocol w/o Contrast
$105.02Prothrombin Time (PT)
$4.29Thromboplastin time, partial (PTT); plasma or whole blood
$6.01Troponin-I
$12.47XR Chest
$87.42This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to White Rock Medical Center so that your price and insurance eligibility can be confirmed.
To verify this rate and discuss any other associated charges to expect, please contact White Rock Medical Center directly at (214) 324-6100.
Total estimated charges
$8,782.00Insurance Discount
-$8,605.80Price Negotiated by Insurer
$176.20Deductible Applied
-Copay
-Coinsurance
-Your insurance company will pay
-You will owe (Estimate)
Some services may incur additional charges based on the exact care required. Listed below are commonly associated charges with this service and the rate negotiated by your insurance plan. These charges are listed to give you an idea of what types of other services are often required, but not all patients will require these specific services.
85025 CBC W/AUTOMATED DIFFERENTIAL
$7.77CHED 99285 - Level 5 BCE
$598.24CHED Routine ECG 12 lead/15 lead tracing only BCE
$59.26Comprehensive Metabolic Panel
$10.56CT Angio Brain/Head
$176.20CT Brain Stroke Protocol w/o Contrast
$105.02Prothrombin Time (PT)
$4.29Thromboplastin time, partial (PTT); plasma or whole blood
$6.01Troponin-I
$12.47XR Chest
$87.42This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to White Rock Medical Center so that your price and insurance eligibility can be confirmed.
To verify this rate and discuss any other associated charges to expect, please contact White Rock Medical Center directly at (214) 324-6100.