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, 2012.
Room and Board – Per Day Charges
| |
|
Charge |
| Adult Intensive care |
|
| |
Neuro/Cardio/Medical/Surgical |
5,135.00
|
| |
Telemetry/ICU Stepdown |
2,145.00
|
| Adult Medical / Surgical |
|
| |
Semi-Private Standard
|
1,765.00
|
| |
Semi-Private - Adult Epilepsy Unit
|
3,990.00
|
| Semi-Private - Seidman Cancer Center
|
|
3,990.00
|
| Telemetry - Seidman Cancer Center
|
|
4,200.00
|
| Hanna House Rehabilitation Unit |
|
1,765.00
|
| Hanna House Skilled Nursing Unit
|
|
1,600.00
|
| Psychiatric Unit
|
|
| |
Semi-Private
|
1,725.00
|
| MacDonald Gynecological and Obstetrics
|
|
| |
Semi-Private - MAC 3, 4 and 5
|
1,910.00
|
| |
Semi-Private - High Risk and MAC 2
|
2,485.00
|
| |
Deluxe Private Room Mac 3 & 5
|
2,060.00
|
| |
Nursery
|
970.00
|
| Rainbow Babies and Children
|
|
| |
Semi-Private - Med/Surg/CF
|
2,730.00
|
| |
Semi-Private - Oncology
|
3,995.00
|
| |
Pediatric Psychiatric Unit
|
3,220.00
|
| |
Epilepsy Unit
|
5,930.00
|
| |
Neonatal Intensive Care Unit
|
7,750.00
|
| |
Neonatal Step Down Unit
|
5,930.00
|
| |
Pediatric Intensive Care Unit
|
8,380.00
|
| |
Pediatric ICU Critical Care/Trauma
|
8,795.00
|
| |
Pediatric ICU Stepdown/Telemetry
|
3,310.00
|
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 |
|
224.00
|
| Level 2 |
|
387.00
|
| Level 3 |
|
633.00
|
| Level 4 |
|
1,012.00
|
| Level 5 |
|
1,590.00
|
| Critical care |
|
2,336.00
|
| 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 |
4,165.00
|
70.00
|
| Level 2 |
2,630.00
|
43.00
|
| Level 3 |
1,500.00
|
28.00
|
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 |
|
356.00 |
| Therapeutic Exercise each 15 minutes |
|
114.00 |
| Gait training each 15 minutes |
|
114.00
|
| Therapeutic Activities each 15 minutes |
|
114.00
|
| Manual Therapy each 15 minutes |
|
114.00
|
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 |
|
356.00
|
| Exercise each 15 minutes |
|
114.00
|
| Activity each 15 minutes |
|
114.00
|
| Self Care/Home Management each 15 min |
|
114.00
|
| Neuromuscular Re-education each 15 min |
|
114.00
|
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 |
|
321.00
|
| Manipulation Chest Wall Subsequent |
|
177.00
|
| CPAP Adult |
|
659.00
|
| Aerosol Treatment
|
|
177.00
|
| Mechanical Ventilation ea day |
|
1,235.00
|
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 |
|
216.00
|
| Cardiac Stress Test
|
|
1,769.00
|
| Echo Real Time
|
|
3,299.00
|
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 |
|
535.00
|
| Digital Mammography Screening |
|
430.00
|
| CAD w/phys revw/interp scr mamm |
|
55.00
|
| Abdomen Single Anteroposterior |
|
202.00
|
| Foot Complete Min 3 Views |
|
412.00
|
| Knee 3 Views |
|
321.00
|
| Shoulder Complete Min 2 Views |
|
395.00
|
| PET image w/concurrent CT skull/mid
thigh |
|
7,320.00
|
| Bone Imaging Whole Body
|
|
1,824.00
|
| Liver Function Serial Images |
|
1,527.00
|
| PET Imaging Tumor Metastic Whole Body |
|
7,698.00
|
| US Pelvic Non OB Complete |
|
1,309.00
|
| US Abdomen Limited |
|
701.00
|
| US Transvaginal |
|
1,403.00
|
| US Breast(s) Unilateral or Bilateral |
|
698.00
|
| US Abdomen Complete |
|
1,496.00
|
| US Soft Tissues-Head/Neck(Thy) |
|
746.00
|
| CT Head wo contrast |
|
1,688.00
|
| CT Abdomen & Pelvis w contrast
|
|
4,668.00
|
| CT Chest w contrast |
|
2,347.00
|
| CT Abdomen & Pelvis wo contrast
|
|
3,917.00
|
| CT Abdomen & Pelvis w wo contrast
|
|
5,280.00
|
| Cardiac Scoring
|
|
99.00
|
| CT Limited Localized Follow Up
|
|
863.00
|
| 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
|
| MRA Neck w/o contrast
|
|
2,433.00
|
| MRA Head w/o contrast
|
|
2,391.00
|
Laboratory Charges
The following charges reflect the hospital's 30 most common laboratory procedures.
| |
|
Charge |
| Amylase |
|
44.00
|
| CK-MB |
|
70.00
|
| Basic Metabolic Panel |
|
192.00
|
| Bilirubin Direct |
|
27.00
|
| Bilirubin Total |
|
35.00
|
| ABG any combo pH/pCO2/pO2/CO2/HCO3
|
|
181.00
|
| Prothrombin Time |
|
46.00
|
| Calcium Ionized |
|
121.00
|
| Chloride Blood
|
|
43.00
|
| Complete CBC Auto w/Auto Diff |
|
114.00
|
| Comprehensive Metabolic Panel |
|
277.00
|
| Glucose Quant Blood |
|
27.00
|
| Hematocrit |
|
42.00
|
| Hepatic Function Panel |
|
309.00
|
| Lactate Acid |
|
72.00
|
| LD LDH |
|
41.00
|
| Lipase |
|
48.00
|
| Magnesium |
|
77.00
|
| Sodium Serum
|
|
67.00
|
| Renal Function Panel |
|
82.00
|
| AST SGOT |
|
27.00
|
| ALT SGPT |
|
44.00
|
| Troponin Quant |
|
86.00
|
| Thyroid TSH |
|
82.00
|
| Uric Acid Blood |
|
27.00
|
Surgical Pathology
| |
|
Charge |
| Stains Group II
|
|
144.00
|
| Level II Surgical Pathology |
|
206.00
|
| Level III Surgical Pathology |
|
395.00
|
| Level IV Surgical Pathology |
|
487.00
|
| Immunohistochemistry Ea AB
Tissue/Slide |
|
380.00
|
Hospital Billing Policies
University Hospitals will provide care without discrimination for emergency medical conditions regardless of a patients’ ability to pay and will adhere to University Hospital’s Credit and Collection Policy.
There is no doubt that health insurance benefit plans are confusing. Most plans do not provide 100% coverage for a hospital bill. Each plan has its own set of rules, exclusions and services that are not covered.
It is your responsibility to be familiar with your specific benefit plan. If you are unsure of your coverage for a particular medical procedure or test, you should call the customer service telephone number on your insurance card before scheduling the procedure.
Your health insurance policy is a contract between you and your insurance company. As a service to you, University Hospitals will submit claim(s) to your health insurance provider(s). By working together, we can minimize misunderstandings, payment delays and billing costs. However, you are ultimately responsible for any charges not covered by your benefit plan.
Depending on your plan(s), you may be required to get approval (pre-certification) before you receive hospital services. Even in a life-threatening situation, your benefit plan(s) may require you to contact them within 24 hours of receiving hospital care. We will assist you in doing that, but if approval is not obtained from your insurance company, you are responsible for paying for your hospital care. Also, obtaining approval does not guarantee that the cost of the service is completely covered by your benefit plan(s) making you responsible for any charges not covered.
Some insurance companies have established “usual, customary and reasonable” (UCR) maximum dollar amounts they will pay for certain procedures. Any amount of money the insurance company will not pay because it exceeds the UCR amount is your responsibility.
If University Hospitals does not participate in your insurance plan, you can still receive services at UH; however, your insurance company will consider our services “out of network”. “Out of network” services will result in the patient being responsible for a larger portion of the bill.
Whether you are insured or uninsured, University Hospitals participates in Ohio’s Hospital Care Assurance Program (HCAP). Under state law, we must provide, without charge, certain basic, medically necessary hospital services to individuals who meet specific guidelines. “Basic Medically Necessary Hospital Services” include all inpatient and outpatient services covered under the Medicaid Program except organ transplants and associated services. This program covers hospital charges only. Associated professional physician charges are NOT eligible. Patients who meet the guidelines must fill out an application for HCAP.
- Individuals must be residents of the State of Ohio
- Individuals cannot be enrolled in the Medicaid program; and
- Personal or family income is at or below the Federal Poverty Line
University Hospitals is committed to treating all patients with dignity and respect of their financial status or ability to pay. In support of this commitment, if you are uninsured, UH has established an Uninsured Charity Assistance program. Through this program, UH provides discounts on hospital bills on a sliding scale to Ohio residents who do not have health insurance and who meet certain criteria. If the patient’s family income ranges between 100-400 percent of the Federal Poverty Guidelines, you may be eligible for a discount. Discounts may be extended up to 4 times the income identified in the Federal Poverty Guidelines.
If you are insured with exception circumstances that result in financial hardship and are unable to pay your bills, you may be eligible under our Medically Indigent Program to receive financial assistance.
For more information about University Hospitals Billing Policies, charges or Financial Assistance Programs, please call 216-844-8299 or toll free 1-800-859-5906 to speak to a Financial Counselor.