In compliance with state law, UH Conneaut 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 |
1,625.00 |
| |
Telemetry/ICU Stepdown |
1,190.00 |
| Routine Care |
|
| |
Semi-Private |
875.00 |
| Critical Access Swing Bed |
|
480.00 |
Labor and Delivery Charges
| This Service is not provided at UH 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 |
|
202.00 |
| Level 2 |
|
397.00 |
| Level 3 |
|
786.00 |
| Level 4 |
|
1,178.00 |
| Level 5 |
|
1,570.00 |
| Critical Care |
|
1,961.00 |
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 |
2,248.00 |
28.00 |
| Level 2 |
1,927.00 |
26.00 |
| Level 3 |
884.00 |
15.00 |
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 |
| Electrical Stimulation Unattended |
|
59.00 |
| Gait Training Therapy ea 15min |
|
89.00 |
| Manual Therapy ea 15min |
|
100.00 |
| Neuromuscular Re-education each 15 min |
|
96.00 |
| PT Evaluation |
|
228.00 |
| Self Care Home mgmt Training |
|
96.00 |
| Therapeutic Activities ea 15min |
|
101.00 |
| Therapeutic Exercise ea 15min |
|
101.00 |
| Ultrasound Each 15min |
|
96.00 |
Occupational Therapy Charges
This Service is not provided at UH Conneaut Medical
Center
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 |
| ABG any combo pH/pCO2/pO2/CO2/HCO3 |
|
265.00 |
| Aerosol Inhalation Treatment |
|
94.00 |
| Aerosol with Device Education |
|
108.00 |
| Airway Clearance Subsequent |
|
142.00 |
| BIPAP |
|
619.00 |
| Carbon Monoxide Diffusing Capacity |
|
236.00 |
| Lung Volume |
|
260.00 |
| Pre//Post Spirometry |
|
436.00 |
| Pulse Ox Single Determination |
|
96.00 |
| Shunt Study |
|
53.00 |
| Spirometry /Vital Capacity |
|
142.00 |
| Ventilation Assist Initial Day IP/OBSV |
|
762.00 |
| Ventilat'n Assist ea Subsqnt Day
IP/Obsv |
|
490.00 |
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 |
| Cardiac Stress Test |
|
1,055.00 |
| Echo Real Time Complete w/Spectral |
|
2,755.00 |
| EKG 12 Lead Tracing |
|
213.00 |
X-Ray and Radiological Charges
The following charges reflect the hospital's most
common x-ray and radiological procedures.
| |
|
Charge |
| Abdomen Complete Decub and or erect |
|
186.00 |
| Abdomen Single Anteroposterior |
|
171.00 |
| Ankle Complete Min 3 Views |
|
275.00 |
| CAD w/phys revw/interp scr mamm |
|
66.00 |
| Chest 2 Views Frontal/Lateral |
|
318.00 |
| Dexa 1 or More Sites Axial Skeleton |
|
479.00 |
| Digital Mammography Screening |
|
534.00 |
| Duplex Scan Abdomin/Pelvis/ Scrotum
Complete |
|
825.00 |
| Duplex Scan Veins Extrem Complete Bilat
Study |
|
728.00 |
| Duplex Scan Veins Extrem Unilat Limited
Study |
|
940.00 |
| Fluoroscopic Guide Thx Inj Procedure |
|
619.00 |
| Foot Complete Min 3 Vews |
|
293.00 |
| Hand Min 3 Views |
|
240.00 |
| Hip Unilateral Complete Min 2 Views |
|
225.00 |
| Knee 1 Or 2 Views |
|
253.00 |
| Knee 3 Views |
|
281.00 |
| Knee Complete 4 Or More Views |
|
344.00 |
| Pelvis 1 Or 2 Views |
|
188.00 |
| Ribs Unilateral 2 Views |
|
313.00 |
| Shoulder Cmplt Min 2 Views |
|
333.00 |
| Spine Cervical Min 4 Views |
|
441.00 |
| Spine Lumbosacral 2 Or 3 Views |
|
397.00 |
| Spine Lumbosacral Min 4 Views |
|
552.00 |
| U S Abdominal Limited |
|
639.00 |
| U S Pelvic Non-ob Complete |
|
583.00 |
| US Transvaginal |
|
852.00 |
| Wrist Complete Min 3 Views |
|
318.00 |
Laboratory Charges
The following charges reflect the hospital's 30
most common laboratory procedures.
| |
|
Charge |
| Amyylase |
|
81.00 |
| APTT |
|
81.00 |
| Basic Metabolic Panel |
|
94.00 |
| Celiac Genetics DNA Probe Ea |
|
19.00 |
| CK CPK Total |
|
81.00 |
| CK-MB |
|
123.00 |
| Complete CBC Auto |
|
78.00 |
| Complete CBC Auto with Auto Diff |
|
141.00 |
| Comprehensive Metabolic Panel |
|
143.00 |
| Culture Bacterial Blood Aerobic |
|
160.00 |
| Culture ID Aerobic |
|
52.00 |
| Culture Other Source |
|
130.00 |
| Culture Urine CC |
|
105.00 |
| Drug Screen Rapid |
|
42.00 |
| Hematocrit |
|
34.00 |
| Hemoglobin |
|
34.00 |
| Hemoglobin Glycated A1C |
|
108.00 |
| Hepatic Function Panel |
|
174.00 |
| Lipase |
|
77.00 |
| Lipid Panel |
|
108.00 |
| Magnesium |
|
72.00 |
| Mycobact Susc MIC/TB/AFB |
|
72.00 |
| Natriuretic Peptide |
|
227.00 |
| Prothrombin Time |
|
66.00 |
| Thyroid TSH |
|
89.00 |
| Thyroxine total T4 |
|
115.00 |
| Troponin Quant |
|
173.00 |
| Urinalysis auto w/microscopy |
|
55.00 |
| Urinalysis Auto wo microscopy |
|
28.00 |
| Venipuncture |
|
35.00 |
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.
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.