Cost Estimator
Monson Test| Cash| REPAIR INTERMEDIATE S/A/T/E 2.5 CM/ TechFee
ESTIMATE FOR
REPAIR INTERMEDIATE S/A/T/E 2.5 CM/ TechFee
CPT: 12031 
at Monson Test
using Cash - No Insurance
7/18/2026 12:44 AM
Monson Test Estimate
Patient portion estimate
$662.00*
Facility fee
$662.00
3rd party fees
Billed separately
*You may receive bills from any 3rd party providers involved with this procedure.
Pay in Full
$595.80
10% OFF for 30 days
Pay in Full 15
$562.70
15% OFF for 3000 days
2 Month Plan
$331.00
Test 1 Month
$59.58
10% OFF for 20 days
3 Month Plan
$220.67
4 Month Plan
$165.50
5 month plan
$132.40
6 Month Plan
$110.33
12 Month Plan
$55.17
This estimate covers only the fees from Monson Test and may not include any 3rd party fees you may incur.
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Cost Detail
Total starting charges
$662.00
Insurance Coverage:
Cash - No Insurance
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Cash Discount
$0.00
Total Estimated Patient Portion
$662.00

Cost data updated 6/23/2026 8:45 PM
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