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Cost Estimator
ESTIMATE FOR
SIMPLE REPAIR F/E/E/N/L/M 5.1CM-7.5 CM TechFee
CPT: 12014 
at Monson Test
using Cash - No Insurance
7/18/2026 12:43 AM
Monson Test Estimate
Patient portion estimate
$587.00*
Facility fee
$587.00
3rd party fees
Billed separately
*You may receive bills from any 3rd party providers involved with this procedure.
Pay in Full
$528.30
10% OFF for 30 days
Pay in Full 15
$498.95
15% OFF for 3000 days
2 Month Plan
$293.50
Test 1 Month
$52.83
10% OFF for 20 days
3 Month Plan
$195.67
4 Month Plan
$146.75
5 month plan
$117.40
6 Month Plan
$97.83
12 Month Plan
$48.92
This estimate covers only the fees from Monson Test and may not include any 3rd party fees you may incur.
To schedule or ask a question
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Cost Detail
Total starting charges
$587.00
Cash Discount
$0.00
Total Estimated Patient Portion
$587.00

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