Room and Board -- Per Day Charges
|
| |
Charges |
Adult Intensive care
|
| |
Level 1 |
Neuro/Cardio/Medical/Surgical |
1,335.00 |
| |
Level 2 |
Stepdown |
975.00 |
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Routine Care
|
| |
Semi-Private |
720.00 |
Critical Access Swing Bed
|
| |
|
395.00 |
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Labor and Delivery Charges
|
| This service is not provided at Conneaut Medical Center. |
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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 |
165.00 |
| Level 2 |
326.00 |
| Level 3 |
646.00 |
| Level 4 |
967.00 |
| Level 5 |
1,290.00 |
| Critical care |
1,612.00 |
| |
Operating Room Charges
|
| Operating Room charges are based on the complexity level, with level 1 being the most complex for a particular operation. There is an initial, set-up charge as well as an additional charge for each minute. The following list does not include charges for anesthesia, drugs, or supplies required for the operating room procedure. Fees for professional services of the surgeon and anesthesiologist will be billed by the physician. |
| |
Set-Up Charge |
Per Minute Charge |
| Level 1 |
1,847.00 |
22.00 |
| Level 2 |
1,583.00 |
20.00 |
| Level 3 |
726.00 |
11.00 |
| |
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. |
| |
Charge |
| Electrical stimulation unattended |
48.00 |
| Gait training therapy ea 15min |
72.00 |
| Massage therapy ea 15min |
72.00 |
| Mechanical traction therapy |
66.00 |
| Neuromuscular re education ea 15 min |
78.00 |
| PT Evaluation |
187.00 |
| Therapeutic activities ea 15min |
82.00 |
| Therapeutic exercise ea 15min |
82.00 |
| Ultrasound each 15min |
78.00 |
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. |
| |
Charge |
| OT evaluation |
190.00 |
| Self care mgmt training ea 15min adl |
78.00 |
| Therapeutic activity each 15min |
82.00 |
| Therapeutic exercise each 15min |
82.00 |
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|
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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. |
| |
Charge |
| ABG any combo pH/pCO2/pO2/CO2/HCO3 |
217.00 |
| Aerosol inhalation treatment |
77.00 |
| Arterial puncture |
71.00 |
| Bronchospasm evaluation w/dilator |
358.00 |
| Carbon monoxide diffusing capacity |
193.00 |
| Chest wall manipulation facilitate lung functi |
62.00 |
| IPPB initial instruction |
88.00 |
| Oxyhemoglobin affinity |
43.00 |
| Pulse ox single determination |
78.00 |
| Residual lung capacity |
213.00 |
| Spirometry /vital capacity |
116.00 |
| Ventilation Assist Initial Day IP/OBSV |
626.00 |
| Ventilat'n Assist ea Subsqnt Day IP/Obsv |
402.00 |
| Vital capacity total |
217.00 |
| |
Cardiology Charges
|
| The following charges reflect the most common services offered by our Cardiology department. Patients may have additional charges, depending on the services performed. |
| |
Charge |
| EKG |
174.00 |
| Exercise Stress Test |
866.00 |
| Holter Monitor |
591.00 |
| |
X-Ray and Radiological Charges
|
| The following charges reflect the hospital's 30 most common x-ray and radiological procedures. |
| |
Charge |
| 3D rendering wo indi workstation |
524.00 |
| Abdomen complete acute series |
442.00 |
| Abdomen single anteroposterior |
139.00 |
| Ankle complete min 3 views |
225.00 |
| CAD w/phys revw/interp scr mamm |
53.00 |
| Chest 2 Views frontal/lateral apical |
307.00 |
| Chest 2 Views frontal/lateral |
260.00 |
| Chest Single View Frontal |
260.00 |
| CT Abdomen w contrast |
1,960.00 |
| CT Abdomen wo contrast |
1,810.00 |
| CT Chest w contrast |
1,616.00 |
| CT Head wo contrast |
1,470.00 |
| CT Pelvis w contrast |
1,656.00 |
| CT Pelvis wo contrast |
1,077.00 |
| Dexa 1 or more sites axial skeleton |
393.00 |
| Fluoroscopic guide thx inj procedure |
508.00 |
| Foot cmplt min 3 views |
240.00 |
| Hip unilateral cplt min 2 VWS |
184.00 |
| Knee 3 views |
230.00 |
| Myocard perf study w ejec frac |
896.00 |
| Myocard perf study w wall motn |
896.00 |
| Myocardial Perfusion Tomo SPECT mlt |
2,681.00 |
| Screening mammogram bilateral |
321.00 |
| Shoulder cmplt min 2 views |
273.00 |
| Spine lumbosacral min 4 views |
453.00 |
| Spine single view |
193.00 |
| U S Abdominal limited |
525.00 |
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Laboratory Charges
|
| The following charges reflect the hospital's 30 most common laboratory procedures. |
| |
Charge |
| Amyylase |
66.00 |
| APTT |
66.00 |
| Basic metabolic panel |
77.00 |
| Blood typing RH D |
41.00 |
| CK CPK Total |
66.00 |
| CK-MB |
100.00 |
| Complete CBC auto |
63.00 |
| Complete CBC auto with auto diff |
115.00 |
| Comprehensive Metabolic Panel |
117.00 |
| Culture bacterial blood aerobic |
130.00 |
| Culture ID Aerobic |
42.00 |
| Culture other source |
106.00 |
| Culture Urine CC |
86.00 |
| Drug screen rapid |
34.00 |
| Hematocrit |
27.00 |
| Hemoglobin |
27.00 |
| Hemoglobin glycated A1C |
88.00 |
| Hepatic function panel |
142.00 |
| Lipase |
62.00 |
| Lipid panel |
88.00 |
| Magnesium |
59.00 |
| Mycobact Susc MIC/TB/AFB |
59.00 |
| Natriuretic peptide |
164.00 |
| Prothrombin Time |
53.00 |
| Thyroid TSH |
72.00 |
| Thyroxine total T4 |
94.00 |
| Troponin Quant |
141.00 |
| Urinalysis auto w/microscopy |
44.00 |
| Urinalysis Auto wo microscopy |
22.00 |
| Venipuncture |
28.00 |
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Hospital Billing Policies
|
| If you received services at UH Conneaut Medical Center, your hospital charges are managed through the Central Business Office of University Hospitals. |
Shortly after receiving services, you will receive your Personal Account Statement. The statement is generated and mailed to you at the same time your charges are submitted to your insurance carrier. You are ultimately responsible for your account balance; therefore it is important that you carefully review your Personal Account Statement. The Hospital does not charge interest on balances due from you.
In addition to your hospital bill, you may receive separate bills from your physician or other professional service providers involved in your hospital care. If you have a question regarding your Hospital Based Physician Bill or would like to make payment, we ask that you contact them directly. Please refer to the Hospital Based Physician Information on this web site. |