Patient Pricing Information

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, 2016.

Room and Board – Per Day Charges

  Charges
Adult Intensive care  
Neuro/Cardio/Medical/Surgical 6,160.00
Telemetry/ICU Stepdown 2,575.00
Adult Medical / Surgical
Semi-Private Standard 2,120.00
Semi-Private – Adult Epilepsy Unit 4,765.00
Semi-Private – Seidman Cancer Center 4,785.00
Telemetry – Seidman Cancer Center 5,030.00
Hanna House Palliative Care Center 2,120.00
Hanna House Skilled Nursing Center 1,920.00
Psychiatric Unit
Semi-Private 2,070.00
MacDonald Gynecological and Obstetrics
Semi-Private -Standard 2,295.00
Semi-Private – High Risk 2,980.00
Nursery 1,170.00
Rainbow Babies and Children
Semi-Private – Med/Surg/CF 3,275.00
Semi-Private – Oncology 4,790.00
Pediatric Psychiatric Unit 3,865.00
Epilepsy Unit 7,110.00
Neonatal Intensive Care Unit 8,760.00
Neonatal Step Down Unit 7,110.00
Pediatric Intensive Care Unit 9,470.00
Pediatric ICU Critical Care/Trauma 9,940.00
Pediatric ICU Stepdown/Telemetry 5,450.00

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 2,708.00
Cesarean Section Delivery 5,930.00
Recovery Room per hour 382.00
OB Ultrasound 701.00
Fetal Non Stress Test 533.00
Labor Room per hour 320.00

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 1 290.00
Level 2 476.00
Level 3 912.00
Level 4 1,246.00
Level 5 2,306.00
Critical care 3,439.00
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 6 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 6 4,479.00 128.00
Level 5 4,214.00 115.00
Level 4 3,569.00 100.00
Level 3 2,533.00 94.00
Level 2 1,957.00 77.00
Level 1 1,382.00 64.00

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.

  Charges
Evaluation 361.00
Therapeutic Exercise each 15 minutes 128.00
Gait training each 15 minutes 128.00
Therapeutic Activities each 15 minutes 128.00
Manual Therapy each 15 minutes 128.00

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.

  Charges
Evaluation 361.00
Exercise each 15 minutes 128.00
Activity each 15 minutes 128.00
Self Care/Home Management each 15 minutes 128.00
Manual Therapy each 15 minutes 128.00

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.

  Charges
Spirometry/ Vital Capacity 341.00
Percussive Ventilation 206.00
CPAP Adult 773.00
Aerosol Treatment 180.00
Mechanical Ventilation each day 1,632.00

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.

  Charges
EKG 278.00
Cardiac Stress Test 2,336.00
Echo Real Time 3,708.00

X-Ray and Radiological Charges

The following charges reflect the hospital’s 30 most common x-ray and radiological procedures.

  Charges
Chest 2 Views Frontal/Lateral 402.00
Chest 1 View Frontal 343.00
Digital Mammography Screening 430.00
Digital Breast Tomosyntheses Bilat Screening 75.00
Digital Mammography Bilateral 614.00
Computer Aided Detection w/Physician Review/Interpretation Diagnostic Mammography 55.00
Computer Aided Detection w/Physician Review/Interpretation Screening Mammography 51.00
Ankle Complete Minimum 3 Views 473.00
Abdomen Single Anteroposterior 268.00
Foot Complete Minimum 3 Views 545.00
Knee 3 Views 400.00
Shoulder Complete Minimum 2 Views 475.00
PET image with concurrent CT skull/mid thigh 6,650.00
Bone Imaging Whole Body 2,244.00
Ultrasound Pelvis Non OB Complete 1,100.00
Ultrasound Abdomen Limited 701.00
Ultrasound Transvaginal 1,320.00
Ultrasound Pregnant Uterus Limited 701.00
Ultrasound Retroperitoneal Complete 1,320.00
Ultrasound Guidance for Needle Placement 1,023.00
Ultrasound Breast(s) Unilateral Limited 650.00
CT Head without contrast 1,688.00
CT Chest with contrast 2,347.00
CT Abdomen & Pelvis without contrast 3,250.00
CT Abdomen & Pelvis with contrast 3,350.00
CT Chest without contrast 2,041.00
MRI Brain without contrast 2,795.00
MRI Brain with & without contrast 3,151.00
Myocardial Perfusion Imaging Multiple Studies at Rest and or Exercise 6,106.00
MRA Head without contrast 2,391.00

Laboratory Charges

The following charges reflect the hospital's 30 most common laboratory procedures.

  Charges
ABG any combo pH/pCO2/pO2/CO2/HCO3 250.00
ALT SGPT 52.00
APTT 61.00
AST  SGOT 32.00
Basic Metabolic Panel 206.00
Bilirubin Direct 32.00
Bilirubin Total 41.00
Culture Bacterial Blood 133.00
Calcium Ionized 140.00
Carbon Monoxide 115.00
Chloride Blood 51.00
Complete CBC Auto w/Auto Diff 133.00
Comprehensive Metabolic Panel 297.00
Glucose Quant Blood 32.00
Hematocrit 50.00
Hepatic Function Panel 193.00
Lactate Acid 106.00
LD LDH 49.00
Magnesium 90.00
Phosphate Alkaline AP 32.00
POC Glucose 32.00
Potassium Serum 78.00
Prothrombin Time 54.00
Renal Function Panel 96.00
Sodium Serum 78.00
Thyroid TSH 93.00
Troponin Quant 100.00

Surgical Pathology

  Charges
Stains Group II 167.00
Level III Surgical Pathology 457.00
Level IV Surgical Pathology 563.00
Level V Surgical Pathology 784.00
Immunohistochemistry Ea AB Tissue/Slide 440.00

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.

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