Sunnyview Rehabilitation Hospital

Transcription

1 Sunnyview Rehabilitation Hospital The below charges represent Hospital charges only. These charges do not include charges for services provided by physicians or advanced practitioners (ex. anesthesiologists, attending physicians, emergency room physicians, hospitalists, pathologist, radiologists, surgeons, etc.). Room and Board Per Day Charges The following represents the hospital charges for room and care services only. The charges below do not include the fees for drugs, non-routine supplies and procedures that may be rendered during the inpatient visit. Charge Medical/Surgical Semi Private $ 1, Medical/Surgical Private $ 1, Physical Therapy Charges The following charges reflect the services offered by our Physical Therapy department. Patients may have additional charges, Aquatic Therapy $ Cold Pack $ Community Re-Entry Visit $ E Stim 2/Attended one - one $ Electrical Stim 1/Unattend $ Evaluation Various $ Exercise Group $ Gait Training $ Manual Therapy Technique $ Massage $ Neuro Re Ed $ Orthotic Training $ Patient/Family Education $ Prosthetic Training $ Pulmonary Rehab w/exercise G0424 $ Soft Tissue Mobility $ 89.00

2 Therapeutic Activities $ Therapeutic Exercises $ Traction Mech $ Ultrasound $ Wheelchair Training $ Occupational Therapy Charges The following charges reflect the services offered by our Occupational Therapy department. Patients may have additional charges, Procedure CPT Code Charge Car lesson/training $ Checkout Orthotic/prost $ Cognitive Therapy $ Community Re-Entry $ Driver Clinical Assessment $ Elbow Kinesiotaping $ E-stim, attended $ Evaluation Various $ Fluidotherapy $ Hand or Finger Kinesiotaping $ HMT/Home management train $ Hot Pack $ Manual Therapy Tech $ Neuro Re-Education $ On Road Assessment $ Orthotic Fitting $ Orthotic Training $ Paraffin Bath $ Physical Performance Test $ Prost. Training $ Re-Evaluation $ ROM Arm $ Sensory Treatment $ 89.00

3 Shoulder Kinesiotaping $ Therapeutic Activities $ Therapeutic Exercise $ Therapy Group $ Ultrasound 15 Min $ Van Assessment $ Speech Therapy Charges The following charges reflect the services offered by our Speech Therapy department. Patients may have additional charges, Aphasia Assessment Per Hour $ Assess Asphasia Intprt $ Behav-Qualitative Analys Voice $ Eval Language Only $ Eval Speech Fluency $ Eval Speech Sound Prod $ Eval Speech Sound W Lang Comp $ Speech Therapy $ Speech Therapy Group $ St Sgd Evaluation $ St Sgd Training $ Swallowing Eval $ Swallowing Therapy $ Therapeutic Activities $ Videoflouroscopy $ Voice Prosth Eval $ Voice Prosthesis Training $ Audiology Charges The following charges reflect the services offered by our Audiology department. Patients may have additional charges, depending on the services performed.

4 Basic Vestibular Eval $ Brainstem adtry evok resp $ Caloric Vstblr Tst Bil/Bitherm $ Central Aud Proc Eval 1 Hour $ Cntrl Aud Proc Eval Addl 15Min $ Earmold Impression Bi V5275 $ Earmold Impression Mon V5275 $ HA Repair Level 1 V5014 $ HA Repair Level 2 V5014 $ HA Repair Level 3 V5014 $ Hearing Aid Delivery Bi V5160 $ Hearing Aid Delivery Mon V5241 $ Hearing aid Eval Bi $ Hearing Aid Eval Mon $ Hearing Aid Follow-Up Binaural $ Hearing Aid Follow-Up Monaural $ OAE Diagnostic $ OAE Limited Evaluation $ Puretone A/B SAT/SRT DC $ Puretone Threshold A/B Ext $ Puretone Threshold air $ Puretone Threshold Air Ext $ Puretone Threshold Air/Bone $ SAT or SRT $ SAT or SRT & SD Ext $ SAT or SRT & Sp Disc $ SAT or SRT Ext $ Tymp Acstic Rflx Thrshld Decay $ Tympanometry Only $ Tympanometry/Reflex Thresh Msmt $ X-Ray and Radiological Charges The following charges reflect the hospital s 30 most common x-ray and radiological procedures. There may be additional supply and contract media charges depending on the procedure.

5 Abdomen 2 Postion $ Abdomen KUB/Flat Plate $ Ankle $ Chest (1 View) $ Chest (PA & LAT) $ Clavicle $ Dexa Axial Skeleton (Spine) $ Femur Thigh $ Foot 2 View $ Foot 3+ Views $ Forearm $ Hand $ Hip Unilateral $ Hips Bil (Includes AP Pelvis) $ Kidney Bil (Renal) $ 1, Knee 1/2 View $ Knee 3 Views $ Lower Leg $ Pelvis $ Renal (Kidneys) And Bladder $ 1, Ribs $ Ruq Biliary $ 1, Sacrum & Coccyx $ Shoulder $ Spine Cervical 2 View $ Spine Lumbar 2-3 View $ Spine Lumbosacral $ Upper Abdomen $ Video Fluoro(Swallowing Study) $ Wrist $ Laboratory Charges

6 The following charges reflect the hospital s 30 most common laboratory tests. APTT Act.Partial Thrombo.Time $ Basic Metabolic Panel $ B-Type Natriuretic Peptid $ C Diff by PCR x2-sv-ellis only $ CBC w/ Automated Differential $ CBC Without Diff $ Comprehensive Metabolic Pan $ Crossmatch,Immediate Spin $ Culture Blood $ Culture Quant Urine $ Culture Sputum $ Glucose $ Glycohemoglobin (HgbA1c) $ Gram Stain $ Hematocrit $ Hemoglobin $ Identification - Aerobic $ Identification - Urine $ Iron $ Iron Binding Capacity $ Levetiracetam/Keppra Level $ Magnesium $ Occult Blood Stool $ Prothrombin Time (PT) w/ INR $ Susceptibility By Mic $ T4 Free $ Troponin $ TSH $ Urinalysis with Microscopic $ Vancomycin Trough $

7 Respiratory Therapy Charges The following charges reflect the services offered by our Respiratory Therapy department. Patients may have additional charges, Arterial Puncture $ Bronch Therapy $ CPAP Treatment Initial $ Nebulizer TX, Initial $ Oximetry Continuous $ Postural Drainage Min $ Resp transport Vent. Various $ Suctioning Deep $ Trach Tube Change $ Ventilator Setup/1st Day $ Ventilator Subsequent Days $