Wooster Community Hospital

Transcription

1 Package Pricing

2 Wooster Community Hospital For more information call 1761 Beall Avenue, Wooster, OH Discounts Do Not Apply to Packaged s Below 25% discount if paid on the date of the hospital statement (approximately 7-10 days after the date of service). 20% discount if paid in 30 days Wooster ENT Drs. Hessler, A. Mathur, K. Mathur, & Wartmann ENT <12 years old >12 years old Bilateral Ear Tubes (Myringotomy) $1, $1,190 Tonsillectomy $1, $1,892 Tonsillectomy & Myringotomy & $2, & $2,173 Tonsillectomy & Adenoidectomy (T&A) T&A including bilateral myringotomy $1, $1, & $2, & $2,532 Adenoidectomy $1, $1,714 Adenoidectomy & Myringotomy & $2, & $2,077 Fee includes: hospital, surgeon, anesthesiologist and pathologist, 1 pre-operative and 1 post-operative office visit with the surgeon. Services must be performed by Wooster ENT as no arrangement has been made with Cleveland Clinic to date. Cash payment must be made the day of the procedure. Wooster OB/GYN Drs. Benekos, Weeman, Shriner, Seals, & Holmes Mason OB/GYN Revision of cervix/cerclage $2,757 O/P vaginal/laparoscopic hysterectomy, <250GM LAVH/BSO O/P vaginal/laparoscopic hysterectomy, >250GM LAVH/BSO O/P Vaginal/laparoscopic hysterectomy, <250GM LAVH Only O/P Vaginal/laparoscopic hysterectomy, >250GM LAVH Only $7,464 $7,952 $9,360 $7,691

3 OB/GYN Wooster OB/GYN Drs. Benekos, Weeman, Shriner, Seals, & Holmes Mason Anterior repair, vagina & bladder $6,473 Posterior repair, rectum & vagina $6,491 Anterior & posterior repair, vagina $6,718 Repair of enterocele (bowel bulge), vagina Hysterectomy biopsy, with or without D&C $3, $3,429 IP total abdominal hysterectomy $9,219 Total vaginal hysterectomy $6,520 Total vaginal hysterectomy w/bso $6,659 D&C (dilation & curettage) $3,203 Miscarriage, 1st trimester, suction D & E $3,419 Miscarriage, 2nd trimester, suction D & E $3,527 (1) C-section $9,252 (2) Vaginal delivery (anesthesia not included) $6,820 Vaginal birth after C-section (VBAC) $7,370 Total vaginal hysterectomy with AP repair 58260, $7,759 Lapraroscopy with tubal block $5,456 Tubal w/c-section $6,562 Bladder suspension/tvt/tvto $6,180 Hysterosalpingography 58340, $404 Salingo-oophorectomy (complete or partial/unilat or bilat) $8,740 Fee includes: hospital, surgeon, anesthesiologist and pathology (fee may increase if cancer is suspected), 1 pre-operative and 1 post-operative office visit with the surgeon. must be done by the listed physicians. (1) Includes: 1 st ultrasound, prenatal care, six-week postpartum/post-op follow up, and 72 hours length of stay for mom and infant. (2) Includes: 1 st ultrasound, prenatal care, six-week postpartum follow up, and 48 hours length of stay for mom and infant. (1&2) Requires monthly payment. Payment is required in full by week 32. For questions call:

4 General Surgery **Procedure performed by Dr. Slaby WCH Health System Drs. Wang & Slaby Inguinal hernia repair, w/o mesh (unilateral) $4,152 Inguinal hernia repair, w/mesh (unilateral) & $4,477 Inguinal hernia repair, laparoscopic, w/o mesh (unilateral) Inguinal hernia repair, laparoscopic, w/o mesh (bilateral) Laparoscopic inguinal hernia repair w/mesh (unilateral) Laparoscopic inguinal hernia repair w/mesh (bilateral) Laparoscopic cholecystectomy w/o cholangiography Laparoscopic cholecystectomy w/ cholangiography Open cholecystectomy w/o cholangiography (Inpatient only) $5, $1, & $5, & $10, $5, $5, $11,516 Open cholecystectomy w/ cholangiography (Inpatient only) $14,458 **Skin biopsy $518 Screening colonoscopy $1,206 Diagnostic colonoscopy $1,255 **Debridement & possible skin graft Total 15002, $7,953 Debridement $0 Skin Graft $0 Open umbilical hernia repair, w/o mesh $4,060 Open umbilical hernia repair, w/mesh $4,384 Modified radical mastectomy w/lymph node bx & sentinel node tracer Laparoscopic unilateral inguinal hernia w/mesh + umbilical hernia repairs Laparoscopic bilateral inguinal hernia w/mesh + umbilical hernia repairs 19307, 38525, $9, , 49568, $6, , 49568, $10,352 Esophagogastroduodenoscopy $1,051 Esophagogastroduodenoscopy $1,072 Fee includes: hospital, surgeon, anesthesiologist and pathologist (fee may increase if cancer is suspected), 1 pre-operative and 1 postoperative office visit with the surgeon. Services must be performed by the above listed physicians. Cash payment must be made the day of the procedure.

5 Self Pay Packages Orthopedic The OSU Medical Center Sports Medicine Orthopaedics Drs. Chicorelli & Todd **Procedure also performed by Dr. Slaby **Carpal tunnel - unilateral (open) $2,599 **Carpal tunnel - bilateral (open) $3,086 Total knee replacement, unilateral $16,867 Total knee replacement, bilateral $27,489 Revision of knee joint, unicompartmental $20,833 Knee revision, with or without allograft, one component $21,208 Knee revision, femoral & entire tibial component $21,451 Revision of total hip arthroplasty, both components $17,634 Revision of total hip arthroplasty, acetabular component only Revision of total hip arthroplasty, femoral component only $17, $17,168 Total hip replacement $16,985 Total Hip, anterior $17,065 Shoulder rotator cuff arthroscopy $6,908 Arthroscopic ACL knee with allograft $9,444 ORIF, ankle $6,351 ORIF, wrist $7,838 Shoulder arthroscopy $6,742 Knee arthroplasty $3,693 Fee includes: hospital, surgeon, anesthesiologist and pathologist (fee may increase if cancer is suspected), 1 pre-operative and 1 post -operative office visit with the surgeon. Services must be performed by the above listed physicians as no arrangement has been made with Cleveland Clinic to date. Cash payment must be made the day of the procedure.

6 Self Pay Packages Orthopedic Orthopedic The OSU Medical Center Sports Medicine Orthopaedics Drs. Chicorelli & Todd Wooster Orthopaedic & Sports Medicine Center Drs. Gesler, Knapic, Miller, & Highlander Total knee replacement, unilateral $16,935 Total knee replacement, bilateral $27,726 Revision of knee joint, unicompartmental $20, Knee Arthroscopy $3,668 Knee Arthroscopy $3,859 Knee Arthroscopy $4,031 Total shoulder replacement $19,294 Fee includes: hospital, surgeon, anesthesiologist and pathologist, 1 pre-operative and 1 post-operative office visit with the surgeon. Services must be performed by the above listed physicians as no arrangement has been made with Cleveland Clinic to date. Cash payment must be made the day of the procedure Knee revision, with or without allograft, one component Knee revision, femoral & entire tibial component $21, $21,498 Total hip replacement $17,029 Revision of total hip arthroplasty, both components Revision of total hip arthroplasty, acetabular component only Revision of total hip arthroplasty, femoral component only $17, $17, $17,347 Total hip, anterior $17,109 Knee Arthroscopy $3,026 Knee Arthroscopy $3,026 Total shoulder replacement $19,721

7 Self Pay Packages Vascular Studies Surgical Specialists of Wayne County Dr. Stern Carotid complete $268 Venous complete bilateral $264 Venous limited (1-Leg) $184 Arterial complete $179 Arterial with Exercise $182 Cardiovascular Wooster Heart Group Drs. Ofori, Moodispaw, & Newton Nuclear stress test with exercise 93016, 93018, $1,078 Nuclear stress test without exercise (with Ragadenoson) 93016, 93018, $1,365 Echocardiogram, complete TC, $583 Stress test-screening ONLY; no doctor order $329 Fee includes: hospital, and interpreting physician fee. Cash payment must be made the day of the procedure. There have been no arrangement made with Cleveland Clinic to date.

8 Elective Plastic Surgery (u=unilateral b=bilateral) Wooster Plastic & Reconstructive Surgery Dr. Slaby Blepharoplasty - lower eyelid (u) $2,644 Blepharoplasty - lower eyelid (b) $3,945 Blepharoplasty - lower eyelid (u) $2,681 Blepharoplasty - lower eyelid (b) $4,001 Blepharoplasty - upper eyelid (u) $2,503 Blepharoplasty - upper eyelid (b) $2,891 Blepharoplasty - upper eyelid (u) $2,681 Blepharoplasty - upper eyelid (b) $4,002 Plastic surgery, neck $3,148 Removal of face wrinkles (face lift) $7,521 Removal excessive skin, thigh (u) $3,669 Removal excessive skin, thigh (b) $4,450 Removal excessive skin, hip (u) $3,556 Removal excessive skin, hip (b) $5,334 Removal excessive skin, arm (u) $3,060 Removal excessive skin, arm (b) $4,570 Removal excessive skin, forearm/hand $2,846 Abdominoplasty $7,170 Mini-abdominoplasty $6,299 Gynecomastia (u) $3,607 Gyncecomastia (b) $5,471 Breast reduction (u) $6,806 Breast reduction (b) $10,270 Breast lift (u) $5,046 Breast lift (b) $7,629 Breast implants-saline (u) $10,151 Breast implants-silicone (u) $10,151 Breast implants-saline (b) $15,246 Breast implants-silicone (b) $15,246 Fee includes: hospital, surgeon, and anesthesiologist, 1 pre-operative and 1 post-operative office visit with the surgeon. Services must be performed by the above listed physicians. Cash payment must be made the day of the procedure.

9 Elective Plastic Surgery (u=unilateral b=bilateral) Wooster Plastic & Reconstructive Surgery Dr. Slaby Breast implant removal (u) $4,940 Breast implant removal (b) $7,491 Rhinoplasty $4,347 Rhinoplasty $6,695 Rhinoplasty $3,860 Rhinoplasty $6,552 Brow ptosis repair (brow lift) (u) $2,754 Brow ptosis repair (brow lift) (b) $4,331 Otoplasty (u) $3,420 Otoplasty (b) $5,190 Fee includes: hospital, surgeon, and anesthesiologist, 1 pre-operative and 1 post-operative office visit with the surgeon. Services must be performed by the above listed physicians. Cash payment must be made the day of the procedure. WCH Inpatient Rehabilitation Drs. Friedman, & Novak Routine stay (7-35 days) Initial = Subsequent = Discharge = $1,535 All inclusive per day Moderate stay (10-21 days) Average = 14 Complex stay (21-35 days) Average = 15 Initial = Subsequent = Discharge = Initial = Subsequent = Discharge = $1,535 All inclusive per day $1,535 All inclusive per day Fee includes: All services provided at Wooster Community Hospital. Payment for the anticipated number of days is expected at the time of admission.

10 Wound Care Center Hyperbaric Medicine & Wound Healing Center Drs. Wang, Signs, & Slaby New patient E&M $31 New patient E&M $59 New patient E&M $91 New patient E&M $153 New patient E&M $200 Established patient E&M $11 Established patient E&M $30 Established patient E&M $60 Established patient E&M $92 Established patient E&M $132 SQ debridement, 1st 20 sq cm $413 SQ debridement, addt l 20 sq cm $32 SQ & muscle, 1st 20 sq cm $525 SQ & muscle, addt l 20 sq cm $68 SQ/muscle/bone, 1st 20 sq cm $1,269 SQ/muscle/bone, addt l 20 sq cm $119 Selective debridement, 1st 20 sq cm $204 Selective debridement, addt l 20 sq cm $189 Debridement, burn, small $64 HBO treatment x 30 min, quantity= C1300 $0 HBO treatment supervision $132 I&D abscess, simple $307 I&D abscess, complex $405 Cauterization $219 Biopsy, skin $233 Biopsy, skin, each addt l $30 Biopsy, bone $2,446 Trimming of nondystrophic nail $72 Debride nail, $81 Debride nail, $93 Fee includes: hospital, surgeon, anesthesiologist and pathologist, 1 pre-operative and 1 post-operative office visit with the surgeon. Services must be performed by the above listed physicians. Cash payment must be made the day of the procedure.

11 Wound Care Center Hyperbaric Medicine & Wound Healing Center Drs. Wang, Signs, & Slaby Avulsion of nail plate $236 Paring of corn/callus $138 Paring of corn/callus, $203 Appl skin sub up to 100 1st 25 sq cm, leg/ $1,790 Appl skin sub ea addt l 25 sq cm, leg/ankle $21 Appl skin sub up to 100 1st 25 sq cm, feet/ $1,804 Appl skin sub ea addt l 25 sq cm, feet/toes $30 Appl skin sub 1st 100 sq cm leg/ankle $3,003 Appl skin sub ea addt l 100 sq cm, leg/ankle $55 Appl skin sub 1st 100 sq cm feet/toes $1,959 Appl skin sub ea addt l 100 sq cm feet/toes $70 Application of multilayer compression $169 Unna boot/profore/multilayer compression $196 Negative pressure wound therapy<50 cm $151 Negative pressure wound therapy >50 cm $211 Fee includes: hospital, surgeon, anesthesiologist and pathologist, 1 pre-operative and 1 post-operative office visit with the surgeon. Services must be performed by the above listed physicians. Cash payment must be made the day of the procedure.

12 Computerized Topography Scan Test Wooster Community Hospital Imaging Services CT without contrast $339 CT with contrast $505 CT with and without contrast $505 CTA $565 Fee includes: hospital and radiologist interpretation. Cash payment must be made the day of the procedure WCH Business Office: To schedule an MRI please call MRI WCH Business Office: Test MRI without contrast per exam $655 MRI with contrast per exam $805 MRI without and with contrast per exam $805 Breast MRI $395 To schedule an MRI please call Other Fee includes: Imaging hospital Tests and radiologist interpretation. Cash payment must be made the day of the procedure. WCH Business Office: Test PET scans $1,693 Plain Film x-ray $144 Low-dose lung screening $180 To schedule an MRI please call Fee includes: hospital and radiologist interpretation. Cash payment must be made the day of the procedure.