CPT 70553
The standard charge for MRI scan of brain before and after contrast is $8,961.00. 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
$8,961.00Insurance Discount
-$8,628.62Price Negotiated by Insurer
$332.38Deductible 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.
CBC w/ Diff
$8.15CHED 99283 - Level 3 BCE
$2,050.00Comprehensive Metabolic Panel
$11.10Creatinine
$5.37Troponin-I
$13.09This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to White Rock Medical Center so that your price and insurance eligibility can be confirmed.
To verify this rate and discuss any other associated charges to expect, please contact White Rock Medical Center directly at (214) 324-6100.
Total estimated charges
$8,961.00Insurance Discount
-$8,433.43Price Negotiated by Insurer
$527.57Deductible 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.
CBC w/ Diff
$11.65CHED 99283 - Level 3 BCE
$391.41Comprehensive Metabolic Panel
$15.84Creatinine
$7.68Troponin-I
$18.70This 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
$8,961.00Insurance Discount
-$8,628.20Price Negotiated by Insurer
$332.80Deductible 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.
CBC w/ Diff
$3.03CHED 99283 - Level 3 BCE
$280.00Comprehensive Metabolic Panel
$4.12Creatinine
$2.00heparin 25,000 units/NaCl 0.45% IV Soln 250 mL Premix
$11.54Troponin-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
$8,961.00Insurance Discount
-$8,609.29Price Negotiated by Insurer
$351.71Deductible 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.
CBC w/ Diff
$7.77CHED 99283 - Level 3 BCE
$260.94Comprehensive Metabolic Panel
$10.56Creatinine
$5.12Troponin-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
$8,961.00Insurance Discount
-$8,609.29Price Negotiated by Insurer
$351.71Deductible 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.
CBC w/ Diff
$7.77CHED 99283 - Level 3 BCE
$260.94Comprehensive Metabolic Panel
$10.56Creatinine
$5.12Troponin-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
$8,961.00Insurance Discount
-$8,330.95Price Negotiated by Insurer
$630.05Deductible 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.
CBC w/ Diff
$12.82CHED 99283 - Level 3 BCE
$388.61Comprehensive Metabolic Panel
$17.42Creatinine
$8.45heparin 25,000 units/NaCl 0.45% IV Soln 250 mL Premix
$0.20Troponin-I
$20.58This 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
$8,961.00Insurance Discount
-$8,204.94Price Negotiated by Insurer
$756.06Deductible 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.
CBC w/ Diff
$15.38CHED 99283 - Level 3 BCE
$464.55Comprehensive Metabolic Panel
$20.91Creatinine
$10.14heparin 25,000 units/NaCl 0.45% IV Soln 250 mL Premix
$0.24Troponin-I
$24.69This 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
$8,961.00Insurance Discount
-$8,609.29Price Negotiated by Insurer
$351.71Deductible 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.
CBC w/ Diff
$7.77CHED 99283 - Level 3 BCE
$260.94Comprehensive Metabolic Panel
$10.56Creatinine
$5.12Troponin-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
$8,961.00Insurance Discount
-$8,117.11Price Negotiated by Insurer
$843.89Deductible 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.
CBC w/ Diff
$17.17CHED 99283 - Level 3 BCE
$518.15Comprehensive Metabolic Panel
$23.34Creatinine
$11.32heparin 25,000 units/NaCl 0.45% IV Soln 250 mL Premix
$0.27Troponin-I
$27.56This 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
$8,961.00Insurance Discount
-$1,075.32Price Negotiated by Insurer
$7,885.68Deductible 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.
CBC w/ Diff
$164.56CHED 99283 - Level 3 BCE
$1,367.52Comprehensive Metabolic Panel
$581.68Creatinine
$148.72heparin 25,000 units/NaCl 0.45% IV Soln 250 mL Premix
$87.16Troponin-I
$388.96This 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
$8,961.00Insurance Discount
-$8,164.27Price Negotiated by Insurer
$796.73Deductible 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 99283 - Level 3 BCE
$1,039.11This 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
$8,961.00Insurance Discount
-$8,628.20Price Negotiated by Insurer
$332.80Deductible 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.
CBC w/ Diff
$7.77Comprehensive Metabolic Panel
$10.56Creatinine
$5.12Troponin-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
$8,961.00Insurance Discount
-$8,609.29Price Negotiated by Insurer
$351.71Deductible 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.
CBC w/ Diff
$7.77CHED 99283 - Level 3 BCE
$260.94Comprehensive Metabolic Panel
$10.56Creatinine
$5.12Troponin-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
$8,961.00Insurance Discount
-$8,609.29Price Negotiated by Insurer
$351.71Deductible 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.
CBC w/ Diff
$7.77CHED 99283 - Level 3 BCE
$260.94Comprehensive Metabolic Panel
$10.56Creatinine
$5.12Troponin-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
$8,961.00Insurance Discount
-$8,609.29Price Negotiated by Insurer
$351.71Deductible 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.
CBC w/ Diff
$7.77CHED 99283 - Level 3 BCE
$260.94Comprehensive Metabolic Panel
$10.56Creatinine
$5.12Troponin-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
$8,961.00Insurance Discount
-$8,628.20Price Negotiated by Insurer
$332.80Deductible 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.
CBC w/ Diff
$7.77Comprehensive Metabolic Panel
$10.56Creatinine
$5.12Troponin-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
$8,961.00Insurance Discount
-$8,609.29Price Negotiated by Insurer
$351.71Deductible 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.
CBC w/ Diff
$7.77CHED 99283 - Level 3 BCE
$260.94Comprehensive Metabolic Panel
$10.56Creatinine
$5.12Troponin-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
$8,961.00Insurance Discount
-$8,609.29Price Negotiated by Insurer
$351.71Deductible 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.
CBC w/ Diff
$7.77CHED 99283 - Level 3 BCE
$260.94Comprehensive Metabolic Panel
$10.56Creatinine
$5.12Troponin-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
$8,961.00Insurance Discount
-$3,136.35Price Negotiated by Insurer
$5,824.65Deductible 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.
CBC w/ Diff
$121.55CHED 99283 - Level 3 BCE
$1,010.10Comprehensive Metabolic Panel
$429.65Creatinine
$109.85heparin 25,000 units/NaCl 0.45% IV Soln 250 mL Premix
$83.31Troponin-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
$8,961.00Insurance Discount
-$3,136.35Price Negotiated by Insurer
$5,824.65Deductible 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.
CBC w/ Diff
$121.55CHED 99283 - Level 3 BCE
$1,010.10Comprehensive Metabolic Panel
$429.65Creatinine
$109.85heparin 25,000 units/NaCl 0.45% IV Soln 250 mL Premix
$83.31Troponin-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
$8,961.00Insurance Discount
-$3,136.35Price Negotiated by Insurer
$5,824.65Deductible 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.
CBC w/ Diff
$121.55CHED 99283 - Level 3 BCE
$1,010.10Comprehensive Metabolic Panel
$429.65Creatinine
$109.85heparin 25,000 units/NaCl 0.45% IV Soln 250 mL Premix
$83.31Troponin-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
$8,961.00Insurance Discount
-$8,628.20Price Negotiated by Insurer
$332.80Deductible 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.
CBC w/ Diff
$7.77Comprehensive Metabolic Panel
$10.56Creatinine
$5.12Troponin-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
$8,961.00Insurance Discount
-$8,556.68Price Negotiated by Insurer
$404.32Deductible 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.
CBC w/ Diff
$9.71CHED 99283 - Level 3 BCE
$86.33Comprehensive Metabolic Panel
$13.20Creatinine
$6.40heparin 25,000 units/NaCl 0.45% IV Soln 250 mL Premix
$64.08Troponin-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
$8,961.00Insurance Discount
-$8,609.29Price Negotiated by Insurer
$351.71Deductible 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.
CBC w/ Diff
$7.77CHED 99283 - Level 3 BCE
$260.94Comprehensive Metabolic Panel
$10.56Creatinine
$5.12Troponin-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
$8,961.00Insurance Discount
-$8,628.20Price Negotiated by Insurer
$332.80Deductible 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.
CBC w/ Diff
$7.77Comprehensive Metabolic Panel
$10.56Creatinine
$5.12Troponin-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
$8,961.00Insurance Discount
-$8,609.29Price Negotiated by Insurer
$351.71Deductible 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.
CBC w/ Diff
$7.77CHED 99283 - Level 3 BCE
$260.94Comprehensive Metabolic Panel
$10.56Creatinine
$5.12heparin 25,000 units/NaCl 0.45% IV Soln 250 mL Premix
$17.43Troponin-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
$8,961.00Insurance Discount
-$8,609.29Price Negotiated by Insurer
$351.71Deductible 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.
CBC w/ Diff
$7.77CHED 99283 - Level 3 BCE
$260.94Comprehensive Metabolic Panel
$10.56Creatinine
$5.12Troponin-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
$8,961.00Insurance Discount
-$8,609.29Price Negotiated by Insurer
$351.71Deductible 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.
CBC w/ Diff
$7.77CHED 99283 - Level 3 BCE
$260.94Comprehensive Metabolic Panel
$10.56Creatinine
$5.12Troponin-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
$8,961.00Insurance Discount
-$8,609.29Price Negotiated by Insurer
$351.71Deductible 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.
CBC w/ Diff
$7.77CHED 99283 - Level 3 BCE
$260.94Comprehensive Metabolic Panel
$10.56Creatinine
$5.12Troponin-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
$8,961.00Insurance Discount
-$8,609.29Price Negotiated by Insurer
$351.71Deductible 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.
CBC w/ Diff
$7.77CHED 99283 - Level 3 BCE
$260.94Comprehensive Metabolic Panel
$10.56Creatinine
$5.12Troponin-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
$8,961.00Insurance Discount
-$8,609.29Price Negotiated by Insurer
$351.71Deductible 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.
CBC w/ Diff
$7.77CHED 99283 - Level 3 BCE
$260.94Comprehensive Metabolic Panel
$10.56Creatinine
$5.12Troponin-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.