Click Here to Search Site

Patient Price Information List 2010

 

Room and Board -- Per Day Charges
	Charges
INTENSIVE CARE
LEVEL 1	1850.00
NURSERY	600.00
ROUTINE CARE	830.00
Labor and Delivery Charges
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.
	Charges
NORMAL DELIVERY	1264.37
CESAREAN SECTION DELIVERY	2988.43
AMNIOCENTESIS	303.85
LABOR ROOM PER HOUR	52.68
Emergency Department Charges
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.
	Charges
LEVEL 1	125.00
LEVEL 2	174.00
LEVEL 3	259.00
LEVEL 4	384.00
LEVEL 5	437.00
TRAUMA CARE	650.00
CRITICAL CARE	710.00
Operating Room Charges
Operating Room charges are based on the complexity level, with level 1 being the most basic, for a particular operation There is an initial, set-up charge as well as an additional charge for each 15 minutes while the operation is being performed.
	Charges
LEVEL 1 (SET-UP CHARGE)	1036.20
ADDITIONAL PER MINUTE CHARGE	46.75
LEVEL 2
Physical Therapy Charges
The following charges reflect the most common services offered by our Physical Therapy department. Patients may have additional charges, depending on the services performed.
	Charges
PHYSICAL THERAPY EVALUATION	129.09
AQUATIC THERAPY, EA 15 MIN	74.64
ELECTRIC STIMULATION, MANUAL	57.89
ELECTRICAL STIMULATION	55.57
ESTIM (UNATTENDED)NON-WOUND CARE	55.57
FUNCTIONAL CAPACITY	49.61
GAIT TRAINING, EA 15 MIN	54.41
IONTOOPHORESIS, EA 15 MIN	62.52
KINETIC EXERCISE, EA 15 MIN	56.72
MANUAL THERAPY, EA 15 MIN	65.98
TRACTION, MECHANICAL	69.30
ULTRASOUND, EA 15 MIN	52.09
WORK CONDITIONING EA HOUR	70.78
Occupational Therapy Charges
The following charges reflect the most common services offered by our Occupational Therapy department. Patients may have additional charges, depending on the services performed.
	Charges
OCCUPATIONAL THERAPY EVALUATION	129.09
IONTOPHORESIS, EA 15 MIN	62.52
MASSAGE, EA 15 MIN	52.09
SELF CARE/HOME MNGMT TR, EA 15 MIN	65.02
THERAPEUTIC ACTIVITIES, EA 15 MIN	59.04
THERAPEUTIC EXERCISE, EA 15 MIN	65.98
ULTRASOUND, EA 15 MIN	52.02
WHIRLPOOL	57.79
Pulmonary Therapy Charges
The following charges reflect the most common services offered by our Pulmonary Therapy department. Patients may have additional charges, depending on the services performed.
	Charges
AEROSOL TREATMENT	50.00
DIFFUSION-SINGLE BREATH STUDY	245.55
ECHO (COMBINED)	799.44
ECHO COLOR FLOW	184.31
ECHO DOPPLER	294.88
EKG	85.16
IPPB TREATMENT	65.00
PFT WITH & WITHOUT BRONCH	530.59
PHARMACEUTICAL-STRESS TEST	727.17
PULMONARY RESIDUAL VOLUMES	269.59
SYMPTOMATIC-STRESS TEST	727.17
X-Ray and Radiological Charges
The following charges reflect the hospital's 30 most common x-ray and radiological procedures.
	Charges
ABDOMEN	216.10
ABDOMEN (COMBINED W/CHEST)	289.59
ANKLE	321.24
CHEST XRAY	159.77
CHEST XRAY-PORTABLE	101.97
FOOT	237.45
HAND	299.30
KNEE	305.30
MAMMO SCREENING	106.44
MAMMOGRAPHY-BILATERAL	124.80
PELVIS	303.58
SHOULDER	324.08
SPINE, CERVICAL	338.07
SPINE, LUMBAR	411.44
WRIST	282.97
CT ABDOMEN WITH & WITHOUT CONTRAST	2535.03
CT ABDOMEN WITH CONTRAST	1235.67
CT ABDOMEN WITHOUT CONTRAST	1262.66
CT CERVICAL WITHOUT CONTRAST	987.80
CT CHEST EXTENDED	1928.61
CT HEAD WITH & WITHOUT CONTRAST	1830.31
CT HEAD WITHOUT CONTRAST	1183.64
CT PELVIS WITH CONTRAST	1262.66
CT PELVIS WITHOUT CONTRAST	1235.67
MRI LUMBAR SPINE WITHOUT CONTRAST	1915.96
US BREAST	337.74
US CAROTID ARTERIES	484.09
US GALLBLADDER	715.15
US KIDNEY	715.15
US PELVIC AREA	630.98
US TRANS VAGINAL	976.27
Laboratory Charges
The following charges reflect the hospital's 30 most common laboratory procedures.
	Charges
ANTIBODY SCREEN-RH	22.32
(ALT) (SGPT)	44.97
(AST) (SGPT)	43.87
BASIC METABOLIC PANEL	59.33
BILLIRUBIN-CONJUGATED	34.22
BLOOD CULTURE	87.63
BLOOD TYPE (ABO-Rh)	37.77
CBC W/DIFFERENTIAL	62.85
CBC WITHOUT DIFFERENTIAL	52.32
CHEM METABOLIC PANEL	85.48
CREATININE KINASE,MB FRACTION (CK-MB)	77.23
CREATININE-SERUM	43.50
ERYTHROCYTE SEDIMENTATION RATE	22.91
GLUCOSE, SERUM	33.32
HCG URINE PREG TEST	63.75
HEMOGLOBIN A1C (HPLC METHOD)	78.48
HUMAN PAPILLOMAVIRUS (HPV)	50.55
LIPASE SERUM	58.46
LIPID PROFILE	102.84
LIVER PROFILE	53.67
PAP, MONO LAYER	79.02
PROTHROMBIN TIME	35.62
PSA SCREENING	156.18
T4-FREE, SERUM	76.57
THROMBOPLASTIN TIME PARTIAL (PTT)	50.93
THYROID STIM HORMONE (TSH)	135.83
TOTAL THYROXINE (T4)	58.40
TROPONIN-I	83.56
URINALYSIS (STIX+MICRO)	26.92
URINE CULTURE	68.55