Patient Pricing Information at UH Portage Medical Center

In compliance with state law, University Hospitals Portage 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, 2019.

Room and Board – Per Day Charges

Care Complexity Charge
Routine Care 2,071.00
Special Care 3,001.00
Intensive Care 5,378.00

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.

Service Type Charge
Normal Delivery 5,710.00
Cesarean Section Delivery 7,508.00
Labor Room Per Day 2,071.00
Newborn Bassinet 1,706.00

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.

Complexity Level Charge
Level 1 237.00
Level 2 564.00
Level 3 807.00
Level 4 1,858.00
Level 5 1,940.00

Operating Room Charges

Operating Room charges are based on the complexity level, with level 1 being the most basic, for a particular operation. There is not an additional charge for extended time in the operating room. However, the following rates do not include fees for drugs, non-routine supplies or additional ancillary testing that may be required for a particular surgical procedure. Fees for physician services or anesthesia administration are also not reflected, and will be billed separately by your physician.

Complexity Level Charge
Level 1 4,229.00
Level 2 5,683.00
Level 3 6,486.00
Level 4 8,074.00
Level 5 9,203.00
Level 6 10,715.00
Level 7 12,664.00

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.

Service Charge
Aqua Therapy – 15 minutes 137.00
Electric Stimulation – Unattended 135.00
Evaluation – High Complexity 433.00
Manual Therapy – 15 minutes 135.00
Re-Evaluation 213.00
Ultrasound – 15 minutes 135.00

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.

Service Charge
Electric Stimulation – Unattended 135.00
Evaluation – High Complexity 433.00
Fluidotherapy 184.00
Manual Therapy – 15 minutes 135.00
Re-Evaluation 226.00

Respiratory Therapy Charges

The following charges reflect the most common services offered by our Respiratory Therapy department. Patients may have additional charges, depending on the services performed.

Service Charge
Carbon Monoxide Diff Cap 380.00
Cpap Initial Management 388.00
Pulse Ox Mult Determination 467.00
Pulse Ox Single Determination 181.00
Vent Assist Management Day One 558.00
Vent Assist Management Subsequent 361.00

X-Ray and Radiological Charges

The following charges reflect the hospital’s most common x-ray and radiological procedures. The charge does not reflect the fee for services of the radiologist which will be billed separately by the Radiologist.

Service Charge
X-ray of Abdomen 529.00
Echo Exam of Abdomen 1,136.00
CT Abdomen w/Dye 2,965.00
CT Abdomen w/o Dye 2,386.00
X-ray Exam of Ankle 412.00
MRI Brain Stem w/o Dye 3,791.00
CT Neck Spine w/o Dye 2,728.00
Chest – Portable 522.00
Chest X-Ray 1 View 259.00
Chest X-Ray 2 View 365.00
CT Angiograpy Chest 5,204.00
X-Ray Exam of Foot 412.00
X-Ray Exam of Hand 412.00
CT Head/Brain w/o Dye 2,034.00
X-Ray Exam Knee 4 Or More 502.00
X-Ray Exam of Abdomen, Single View 430.00
Mammo Scrn Digit Bil 524.00
Ultrasound Exam Pelvis 915.00
CT Pelvis w/o Dye 2,349.00
Transvaginal Ultrasound Non-Ob 915.00
Ultrasound Limited Retroperitioneal 994.00
Needle Placement Guidance w/Biopsy 821.00
X-Ray Shoulder Min 2v (Rt Or Lt) 467.00
X-Ray Neck Spine Cervical 4/5 Views 717.00
X-Ray L-2 Spine 4/>Views 727.00
CT Thorax w/Dye 3,025.00

Laboratory Charges

The following charges reflect the hospital’s 30 most common laboratory procedures. The charge does not reflect the fee for services for the pathologist, which will be billed separately by the pathologist.

Service Charge
Auto CBC W/D 173.00
Basic Metabolic PNLMC 246.00
Blood Culture 311.00
Cardiac BNP 162.00
CBC 108.00
Chlamydia AMP DNA 237.00
CK-MB 257.00
Comprehen Metabolic 426.00
CPK 37.00
Fingerstick 40.00
Glucose by Glucometer 63.00
Glycohemogolbin 71.00
Gram Stain 64.00
Hematocrit PCV 46.00
Hemoglobin (HGB) 63.00
Hepatic Func Panel MC 213.00
Lipid Profile 165.00
Magnesium 122.00
Phlebotomy – Manual Chg 58.00
Phosphorus 37.00
Prothrombin Time – PT 72.00
Protime by Coagucheck 47.00
Rout Urine w/Microscpy 95.00
Senstivity – Mic 101.00
Thromboplstn Time – Ptt 102.00
Troponin 125.00
TSH 137.00
Urine Culture 225.00
Venipucture 58.00
Vitamin D: 25-Hydroxy 232.00

Centers for Medicare & Medicaid Services Price Transparency Initiative

View our published schedule of charges by hospitals in our health system.