Patient Price Information List

Transcription

1 Patient Price Information List In compliance with state law, Morrow County Hospital is providing this price list containing our charges for room and board, Emergency Department, operating room, physical therapy, delivery and other procedures. The hospital's charges are the same for all patients, but a patient's responsibility may vary, depending on payment plans negotiated with individual health insurers. Uninsured or underinsured patients should consult with our admitting and billing staff to determine whether they qualify for discounts. These prices are correct as of January 1, Medical/Surgical 1, PCU 2, Intensive Care 2, Swing Bed Room and Board -- Per Day Normal Delivery Cesarean Section Delivery Amniocentesis Fetal Monitor per hour Labor Room per hour Labor and Delivery The following list does not include charges for anesthesia, drugs, or supplies required for a particular delivery room procedure. Fees for physician services or anesthesia administration are also not reflected, and will be billed separately by your physician. Level Level Level Level Level Emergency Department Emergency Department charges are based on the level of emergency care provided to our patients. The levels, with level 1 representing basic emergency care, reflect the type of accommodations needed, the personnel resources, the intensity of care and the amount of time needed to provide treatment. The following charges do not include fees for drugs, supplies or additional ancillary procedures that may be required for a particular emergency treatment. They also do not include fees for Emergency Department physicians, who will bill separately for their services. Page 1 of 5

2 Operating Room Operating Room charges are based on the complexity level, with level 1 being the most basic, for a particular operation. The following charges do not include fees for drugs, supplies or additional ancillary procedures that may be required. Gastroscopy (EGD) 2, Flex Bronc 2, Colonoscopy 2, EGD & Colonoscopy 4, Level 1 First 15 Minutes 4, Level 1 Each Add Minutes Level 2 First 15 Minutes 5, Level 2 Each Add Minutes Level 3 First 15 Minutes 7, Level 3 Each Add Minutes Level 4 First 15 Minutes 8, Level 4 Each Add Minutes Level 5 First 15 Minutes 8, Level 5 Each Add Minutes Physical Therapy The following charges reflect the most common services offered by our Physical Therapy department. Patients may have additional charges, depending on the services performed. Exercise each 15 min Elec Stim Unattended Manual Therapy Elec Stim-MC Initial PT Consult/Eval Ultrasound each 15 min Gait each 15 min Therapeutic Proc/Group Massage Func/Kinetic Act Each 15 min Neuro Muscle Reeducation Iontophoresis each 15 min Traction, Mechanical Paraffin Patient Re-Evaluation ADL each 15 min Page 2 of 5

3 Occupational Therapy The following charges reflect the most common services offered by our Occupational Therapy department. Patients may have additional charges, depending on the services performed. Exercise each 15 min Manual Therapy Kinetic Activities Massage 15 min Func Capacity Eval Each Paraffin Initial OT Consult ADL Training each 15 min Neuromuscular re-ed Elec Stim Unattended COGN Perceptual Mtr Trm Ultrasound each 15 min Transfer Training Each 15 min Therapeutic Proc\Group Orthotic Training Each 15 min Pulmonary Therapy The following charges reflect the most common services offered by our Pulmonary Therapy department. Patients may have additional charges, depending on the services performed. Pulm Rehab 1 Hour Session Pulm Rehab 6 min walk Standard EEG Page 3 of 5

4 X-Ray and Radiological The following charges reflect the hospital's 30 most common X-ray and radiological procedures. Chest PA Only Chest 2 View PA & Lateral Abdomen/Kub Acute Abd Series C Spine 4 or 5 Views T Spine AP & Lat Shoulder Comp Min 2 Views Wrist 3 or More Views Elbow 3 Views Foot Min 3 Views Ankle Min 3 Views Knee 1 or 2 Views L Spine 4 Views Hand 3 Views L Spine 2 or 3 Views DXA Bone Density Scan Knee 3 Views Mammo Unilat Diag Digital Mammo Screening Digital Hip Comp Min 2View w/wo Pelvis CT Head w/o Contrast 1, CT Thorax w/o Contrast 2, CT Thorax w/ Contrast 2, CT Cervical Spine w/o Contrast 1, CTA Chest/Thorax 2, CT Abd & Pelvis w/o Contrast 2, CT Abd & Pelvis w/ Contrast 2, US Pelvis US Breast B Mode US Venous Unilateral US Transvaginal US Single Organ MRI L Spiine w/o Contrast 2, MRI Lower Extrem Joint wo 2, Page 4 of 5

5 Laboratory The following charges reflect the hospital's 30 most common laboratory procedures. Lipid Panel Drug Screen Culture Ident-Aerobe Urinalysis w/micro Urinalysis Comp Metabolic Panel Basic Metabolic Pnl BNP-Natriuretic Peptide PSA Screening Calcifediol(25 OH Vit D3) Amylase CPK CMKB Creatinine Blood Creatinine Urine/Other B HCG-Urine Qual Hemoglobin A1C Lipase Mgnesium TSH-Thyroid Stim Hormone Bun-Blood T4 Free Troponin I CBC w/out Diff CBC w Differential, Auto Prothrombin Time PTT Electrolyte Panel Culture Blood Culture Urine Urine Isolation and Presump ID Venipuncture Hospital Billing Policies For complete billing information, visit our Billing Information page. Consumers can access a number of government and private Websites, which provide additional information on hospitals' charges and quality. For a complete listing of available online resources, please visit the Consumer's Guide to Quality Health Care in Ohio at Page 5 of 5