In compliance with state law, UH Case Medical
Center is providing this price list containing our charges for room
and board, emergency department, operating room, delivery, physical
therapy 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, 2011.
Room and Board – Per Day Charges
| |
|
Charge |
| Adult Intensive care |
|
| |
Neuro/Cardio/Medical/Surgical |
4,815.00 |
| |
Telemetry/ICU Stepdown |
2,010.00 |
| Adult Medical / Surgical |
|
| |
Semi-Private - Cancer / BMT Unit |
3,545.00 |
| |
Semi-Private Standard |
1,655.00 |
| Hanna House Rehabilitation Unit |
|
1,655.00 |
| Hanna House Skilled Nursing Unit |
|
1,060.00 |
| Psychiatric Unit |
|
| |
Semi-Private |
1,620.00 |
| UH MacDonald Women's Hospital Gynecological and Obstetrics |
|
| |
Semi-Private - MAC 3, 4 and 5 |
1,790.00 |
| |
Semi-Private - High Risk and MAC 2 |
2,330.00 |
| |
Nursery |
910.00 |
| UH Rainbow Babies & Children's Hospital |
|
| |
Semi-Private - Med/Surg/CF |
2,425.00 |
| |
Semi-Private - Oncology |
3,550.00 |
| |
Pediatric Psychiatric Unit |
2,860.00 |
| |
Epilepsy Unit |
5,270.00 |
| |
Neonatal Intensive Care Unit |
7,485.00 |
| |
Neonatal Step Down Unit |
5,270.00 |
| |
Pediatric Intensive Care Unit |
8,095.00 |
| |
Pediatric ICU Critical Care/Trauma |
8,495.00 |
| |
Pediatric ICU Stepdown/Telemetry |
2,940.00 |
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 |
|
1,953.00 |
| Cesarean Section Delivery |
|
4,278.00 |
| Recovery Room per hour |
|
264.00 |
| Amniocentesis |
|
912.00 |
| Base Line Fetal Monitoring |
|
124.00 |
| Labor Room per hour |
|
230.00 |
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 |
|
211.00 |
| Level 2 |
|
365.00 |
| Level 3 |
|
597.00 |
| Level 4 |
|
954.00 |
| Level 5 |
|
1,438.00 |
| Critical care |
|
2,203.00 |
| Pediatric Trauma Team full activation |
|
8,050.00 |
| Pediatric Trauma Team partial
activiation |
|
5,750.00 |
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.
| |
Base Rate |
Per Minute Charge |
| Level 1 |
3,332.00 |
56.00 |
| Level 2 |
2,104.00 |
34.00 |
| Level 3 |
1,200.00 |
22.00 |
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 |
|
345.00 |
| Therapeutic Exercise each 15 minutes |
|
110.00 |
| Gait training each 15 minutes |
|
110.00 |
| Therapeutic Activities each 15 minutes |
|
110.00 |
| Manual Therapy each 15 minutes |
|
110.00 |
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 |
|
345.00 |
| Exercise each 15 minutes |
|
110.00 |
| Activity each 15 minutes |
|
110.00 |
| Self Care/Home Management each 15 min |
|
110.00 |
| Neuromuscular Re-education each 15 min |
|
110.00 |
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 |
|
285.00 |
| Manipulation Chest Wall Subsequent |
|
157.00 |
| CPAP Adult |
|
585.00 |
| Inhalation Treatment |
|
157.00 |
| Mechanical Ventilation ea day |
|
1,097.00 |
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 |
|
192.00 |
| Exercise Stress Test |
|
1,572.00 |
| Holter Monitor |
|
1,156.00 |
X-Ray and Radiological Charges
The following charges reflect the hospital's 30
most common x-ray and radiological procedures.
| |
|
Charge |
| Chest 2 Views Frontal/Lateral |
|
475.00 |
| Digital Mammography Screening |
|
505.00 |
| CAD w/phys revw/interp scr mamm |
|
64.00 |
| Abdomen Single Anteroposterior |
|
179.00 |
| Foot Complete Min 3 Views |
|
366.00 |
| Knee 3 Views |
|
285.00 |
| Shoulder Complete Min 2 Views |
|
351.00 |
| PET image w/concurrent CT skull/mid
thigh |
|
6,506.00 |
| Bone Imaging Limited 3 Phase |
|
1,836.00 |
| Liver Function Serial Images |
|
1,440.00 |
| PET Imaging Tumor Metastic Whole Body |
|
6,842.00 |
| US Pelvic Non OB Complete |
|
1,163.00 |
| US Abdomen Limited |
|
623.00 |
| US Transvaginal |
|
1,247.00 |
| US Breast(s) Unilateral or Bilateral |
|
620.00 |
| US Abdomen Complete |
|
1,329.00 |
| US Soft Tissues-Head/Neck(Thy) |
|
663.00 |
| CT Head wo contrast |
|
1,688.00 |
| CT Pelvis w contrast |
|
2,298.00 |
| CT Chest w contrast |
|
2,347.00 |
| CT Abdomen w contrast |
|
2,370.00 |
| CT Abdomen w wo contrast |
|
2,753.00 |
| CT Pelvis wo contrast |
|
1,871.00 |
| CT Abdomen without contrast |
|
2,046.00 |
| CT Chest wo contrast |
|
2,041.00 |
| MRI Brain w-wo contrast |
|
4,400.00 |
| MRI Lumbar Spine without contrast |
|
3,045.00 |
| MRI Abdomen w/o & w/contrast |
|
4,495.00 |
| MRI Cervical Spine without contrast |
|
3,188.00 |
| MRI Lumbar Spine without & with
contrst |
|
4,686.00 |
Laboratory Charges
The following charges reflect the hospital's 30
most common laboratory procedures.
| |
|
Charge |
| Amylase |
|
41.00 |
| CK-MB |
|
66.00 |
| Basic Metabolic Panel |
|
225.00 |
| Bilirubin Direct |
|
25.00 |
| Bilirubin Total |
|
33.00 |
| ABG any combo pH/pCO2/pO2/CO2/HCO3 |
|
170.00 |
| Prothrombin Time |
|
43.00 |
| Calcium Ionized |
|
114.00 |
| Creatinine Blood |
|
25.00 |
| Complete CBC Auto w/Auto Diff |
|
107.00 |
| Comprehensive Metabolic Panel |
|
325.00 |
| Glucose Quant Blood |
|
25.00 |
| Hematocrit |
|
39.00 |
| Hepatic Function Panel |
|
291.00 |
| Lactate Acid |
|
67.00 |
| LD LDH |
|
38.00 |
| Lipase |
|
45.00 |
| Magnesium |
|
72.00 |
| Potassium Serum |
|
63.00 |
| Renal Function Panel |
|
77.00 |
| AST SGOT |
|
25.00 |
| ALT SGPT |
|
41.00 |
| Troponin Quant |
|
81.00 |
| Thyroid TSH |
|
77.00 |
| Uric Acid Blood |
|
25.00 |
| Surgical Pathology |
| Stains Group I |
|
108.00 |
| Level II Surgical Pathology |
|
210.00 |
| Level III Surgical Pathology |
|
372.00 |
| Level IV Surgical Pathology |
|
459.00 |
| Immunohistochemistry Ea AB
Tissue/Slide |
|
358.00 |
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.
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 www.ohanet.org.