Room and Board -- Per Day Charges
|
| |
Charges |
Adult Intensive care
|
| |
Level 1 |
Neuro/Cardio/Medical/Surgical |
3,720.00 |
| |
Level 2 |
Cardiac Telemetry |
1,550.00 |
| |
Adult Medical / Surgical
|
| |
Semi-Private - Cancer / BMT Unit |
2,740.00 |
| |
Deluxe Private Room - Cancer / BMT |
2,840.00 |
| |
Semi-Private Standard |
1,275.00 |
| |
Private Room |
1,325.00 |
| |
Deluxe Private Room Lerner Tower |
1,375.00 |
| |
Hanna House Rehabilitation Unit
|
1,275.00 |
| |
Hanna House Skilled Nursing Unit
|
820.00 |
| |
Psychiatric Unit
|
| |
Semi-Private |
1,250.00 |
| |
|
|
| |
MacDonald Gynecological and Obstetrics
|
| |
Semi-Private - MAC 3, 4 and 5 |
1,385.00 |
| |
Semi-Private - High Risk and MAC 2 |
1,800.00 |
| |
Private Room - MAC 4 |
1,435.00 |
| |
Deluxe Private Room - MAC 3 & 5 |
1,535.00 |
| |
Deluxe Private Room - High Risk Unit |
1,950.00 |
| |
Nursery |
705.00 |
| |
Rainbow Babies and Children
|
| |
Semi-Private - R2, R3, R5, R6, R7CF |
1,870.00 |
| |
| |
Neonatal Intensive Care Unit - NICU |
5,780.00 |
| |
Neonatal Step Down Unit - R4 & NSN |
4,070.00 |
| |
Pediatric Intensive Care Unit - PICU |
6,250.00 |
| |
Pediatric ICU Special Care Unit |
6,650.00 |
| |
Epilepsy Level 4 Unit |
4,070.00 |
| |
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 |
1,508.00 |
| Cesarean Section Delivery |
3,303.00 |
| Recovery Room per hour |
203.00 |
| Amniocentesis |
703.00 |
| Base Line Fetal Monitoring |
95.00 |
| Labor Room per hour |
177.00 |
| |
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 |
130.00 |
| Level 2 |
253.00 |
| Level 3 |
505.00 |
| Level 4 |
756.00 |
| Level 5 |
1006.00 |
| Critical care |
1,256.00 |
| Trauma care add-on |
499.00 |
| |
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 |
2,572.00 |
|
42.00 |
| Level 2 |
1,624.00 |
|
26.00 |
| Level 3 |
678.00 |
|
12.00 |
| |
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 |
| Evaluation |
265.00 |
| Therapeutic Exercise each 15 minutes |
84.00 |
| Gait training each 15 minutes |
84.00 |
| Iontophoresis each 15 minutes |
87.00 |
| Ultrasound each 15 minutes |
66.00 |
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 |
| Evaluation |
265.00 |
| Exercise each 15 minutes |
84.00 |
| FluidoTherapy each 15 minutes |
126.00 |
| Self Care/Home Management each 15 min |
84.00 |
| Neuromuscular Re-education each 15 min |
84.00 |
| |
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 |
| Airway Clearance |
219.00 |
| Bronchospasm Evaluation |
197.00 |
| CPAP Adult |
451.00 |
| Inhalation Treatment |
101.00 |
| Mechanical Ventilation ea day |
847.00 |
| |
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 |
147.00 |
| Exercise Stress Test |
1,213.00 |
| Holter Monitor |
892.00 |
X-Ray and Radiological Charges
|
| The following charges reflect the hospital's 30 most common x-ray and radiological procedures. |
| |
Charge |
| 3D Postprocessing w report |
760.00 |
|
| CAD w/Phys review/interp diag Mammog |
46.00 |
| CT abdomen w/o contrast |
2,928.00 |
|
| CT Abdoment w/ contrast |
3,450.00 |
| CT chest with contrast |
1,458.00 |
| CT Pelvis w/o contrast |
2,218.00 |
| CT, abdomen w/wo contrast |
4,008.00 |
|
| CT, pelvis; with contrast material(s) |
2,720.00 |
|
| CT; head or brain; without contrast material |
953.00 |
| Digital Mammography Unilateral |
367.00 |
|
| Digital Mamography Bilateral |
534.00 |
|
| Fluro guided needle/cath tip DX/TH |
553.00 |
| Fluroscopy, up to 1 hr |
410.00 |
| Foot complete min 3 views |
282.00 |
|
| Mammory CAD w/Phys review |
55.00 |
| MRA head w/o contrast |
1,820.00 |
|
| MRI, Brain w/o contrast |
2,068.00 |
|
| MRI; brain, w/wo contrast |
5,286.00 |
|
| PET; attenuation corr/anat local imaging |
5,024.00 |
|
| Screening mammography, bilateral |
438.00 |
|
| Ultrasound Abdominal; limited |
480.00 |
|
| Ultrasound Pelvic (non-OB); Complete |
897.00 |
| Ultrasound Retriperitoneal; complete |
979.00 |
|
| Ultrasound Transvaginal |
962.00 |
|
| Xray, Ankle, complete; min 3 views |
244.00 |
|
| Xray; abdomen; complete |
189.00 |
| Xray; abdomen; single anteroposterior view |
138.00 |
| Xray; chest, 2 views, frontal and lateral |
366.00 |
|
| Xray; chest; single view, frontal |
177.00 |
| Xray; pelvis 1 or 2 views |
210.00 |
| |
Laboratory Charges
|
| The following charges reflect the hospital's 30 most common laboratory procedures. |
| |
Charge |
| Amylase |
31.00 |
| Ami prof-mb screen |
50.00 |
|
| Basic metabolic panel |
244.00 |
|
| Bilirubin-direct |
19.00 |
|
| Bilirubin-total |
25.00 |
|
| Blood gas |
131.00 |
|
| Calcium-ionized |
63.00 |
|
| Creatinine |
19.00 |
| Chloride |
48.00 |
|
| CK |
19.00 |
| Comprehensive metab panel 2000 |
334.00 |
|
| CRP |
63.00 |
| Gglucose |
19.00 |
|
| Hematocrit |
29.00 |
| Hepatic function panel 2000 |
224.00 |
| Lactate |
51.00 |
| LD |
28.00 |
|
| Llipase |
34.00 |
| Magnesium |
55.00 |
|
| Phosphorus |
19.00 |
|
| Potassium |
48.00 |
| Renal function panel 2000 |
59.00 |
| SGOT (ast) |
19.00 |
|
| SGPT (alt) |
31.00 |
| Sodium |
48.00 |
|
| Surface marker each add |
126.00 |
|
| Troponin |
62.00 |
| TSH-high sensitivity |
59.00 |
| Uric acid |
19.00 |
| Uurea nitrogen |
19.00 |
|
| |
Hospital Billing Policies
|
| If you received services at UH Case 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. |