Room and Board -- Per Day Charges |
|
Charges |
Adult Intensive care |
|
Level 1 |
Cardio / Medical / Surgical |
1,135.00 |
|
Level 2 |
Stepdown / Telemetry |
825.00 |
|
Routine Care |
|
Semi-Private Room |
610.00 |
RouCritical Access Swing Bed |
|
|
335.00 |
|
|
|
|
Labor and Delivery Charges |
| This service is not provided at Conneaut Medical Center. |
|
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 |
139.00 |
| Level 2 |
276.00 |
| Level 3 |
548.00 |
| Level 4 |
821.00 |
| Level 5 |
1,095.00 |
| Critical care |
1,368.00 |
|
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 separately by the physician. |
|
Set-Up Charge |
Per Minute Charge |
| Level 1 |
1,568.00 |
18.00 |
| Level 2 |
1,344.00 |
16.00 |
| Level 3 |
616.00 |
9.00 |
|
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 |
158.00 |
| Therapeutic Exercise each 15 minutes |
61.00 |
| Gait training each 15 minutes |
61.00 |
| Iontophoresis each 15 minutes |
73.00 |
| Ultrasound each 15 minutes |
65.00 |
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 |
161.00 |
| Exercise each 15 minutes |
61.00 |
| FluidoTherapy each 15 minutes |
73.00 |
| Self Care/Home Management each 15 min |
65.00 |
| Manual therapy each 15 min |
68.00 |
|
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 |
| IPPB Initial Instruction |
74.00 |
| Aerosol Inhalation Treatment |
64.00 |
| Chest Wall Manipulation |
51.00 |
| Functional Residual Capacity / Volume |
180.00 |
|
X-Ray and Radiological Charges |
| The following charges reflect the hospital's 30 most common x-ray and radiological procedures. |
|
Charge |
| Abdomen Complete |
128.00 |
| Abdomen single view |
117.00 |
| Ankle Complete minimum 3 views |
190.00 |
| Cat Scan Abdomen with contrast |
1,664.00 |
| Cat Scan Abdomen with/without contrast |
1,751.00 |
| Cat Scan Cervical Spine without contrast |
1,398.00 |
| Cat Scan Head without contrast |
1,248.00 |
| Cat Scan Limited localized or follow-up |
525.00 |
| Cat Scan Lumbar Spine without contrast |
1,398.00 |
| Cat Scan Maxillofacial without contrast |
1,166.00 |
| Cat Scan Pelvis with contrast |
1,406.00 |
| Cat Scan Upper Extremity with contrast |
1,209.00 |
| Chest 2 views |
220.00 |
| Chest single view |
220.00 |
| Dexa Bone one or more sites |
170.00 |
| Foot Complete minimum 3 views |
203.00 |
| Hand minimum 3 views |
166.00 |
| Hip Unilateral Complete minimum 2 views |
155.00 |
| Knee 3 views |
195.00 |
| Mammogram Diagnostic bilateral |
385.00 |
| Mammogram Diagnostic unilateral |
297.00 |
| Mammogram Screening Bilateral |
272.00 |
| MRI Abdomen without and with contrast |
2,389.00 |
| Pelvis 1 or 2 views |
130.00 |
| Ribs Unilateral 2 views |
217.00 |
| Shoulder Complete minimum 2 views |
231.00 |
| Spine Lumbosacral 2 or 3 views |
276.00 |
| Ultrasound Pelvic non-OB Complete |
405.00 |
| Ultrasound Transvaginal |
593.00 |
| Wrist Complete minimum 3 views |
220.00 |
|
Laboratory Charges |
| The following charges reflect the hospital's 30 most common laboratory procedures. |
|
Charge |
| ACTH |
89.00 |
| Albumin |
42.00 |
| Amplification Nucleic Acid |
50.00 |
| APTT |
55.00 |
| Basic Metabolic Panel |
64.00 |
| CK-MB |
84.00 |
| Complete Blood Count Auto |
52.00 |
| Complete Blood Count Auto with Diff |
97.00 |
| Comprehensive Metabolic Panel |
99.00 |
| Culture Bacterial Blood Aerobic |
110.00 |
| Culture ID Aerobic |
35.00 |
| Culture Other Source |
89.00 |
| Culture Urine CC |
72.00 |
| Glucose |
43.00 |
| HDL Cholesterol |
70.00 |
| Hemoglobin |
22.00 |
| Hepatic Function Panel |
120.00 |
| Lipase |
51.00 |
| Lipid Profile |
74.00 |
| Magnesium |
50.00 |
| MIC per Organism |
50.00 |
| Natriuretic Peptide |
138.00 |
| Potassium |
44.00 |
| Prothromb Time |
44.00 |
| Renal Function Panel |
74.00 |
| T4 Thyroxine |
79.00 |
| Troponin |
119.00 |
| TSH Thyroid Stimulating Hormone |
61.00 |
| Urinalysis with Microscopy |
37.00 |
| Urinalysis without Microscopy |
18.00 |
|
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.
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