First, tell us which service this estimate is being generated for and whether or not the patient has health insurance.
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Designates a required field
Service Category
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Clinic Office & Walk-in Visits
CT Scan- Radiology
Dietitian Services
ER (please call for additional info)
LAB- Outpatient
Mammogram- Radiology
MRI- Radiology
ON HOLD FOR HISTORICAL DATA
Radiology General
Senior Life Solutions
Sleep Studies
Surgery- Outpatient
Telehealth
Therapy Services (PT, OT, and ST)
Ultrasound- Radiology
Vaccines
XRAY- Radiology
Please select a category.
Service
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Please choose a service category
Please select a service.
Estimated Date of Service
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Please select a date of today or later.
I have insurance and I know my information
I don't have insurance
Insurance Type
All Payers
Government (Medicare and Medicaid only)
Commercial (Excludes Medicare and Medicaid)