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 1/1/2018.

Room and Board – Per Day Charges

Care Complexity Charge
Routine Care 1,991.00
Special Care 2,886.00
Intensive Care 5,171.00

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 5,490.00
Cesarean Section Delivery 7,219.00
Labor Room Per Day 1,991.00
Newborn Bassinet 1,640.00

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 1 228.00
Level 2 542.00
Level 3 776.00
Level 4 1,787.00
Level 5 1,865.00

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 4,066.00
Level 2 5,464.00
Level 3 6,237.00
Level 4 7,763.00
Level 5 8,849.00
Level 6 10,303.00
Level 7 12,177.00

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 132.00
Electric Stimulation – Unattended 130.00
Evaluation – High Complexity 416.00
Manual Therapy – 15 minutes 130.00
Re-Evaluation 205.00
Ultrasound – 15 minutes 130.00

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 130.00
Evaluation – High Complexity 416.00
Fluidotherapy 177.00
Manual Therapy – 15 minutes 130.00
Re-Evaluation 217.00

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 365.00
Cpap Initial Management 373.00
Pulse Ox Mult Determination 449.00
Pulse Ox Single Determination 174.00
Vent Assist Management Day One 537.00
Vent Assist Management Subsequent 347.00

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 509.00
Echo Exam of Abdomen 1,092.00
CT Abdomen w/Dye 2,851.00
CT Abdomen w/o Dye 2,294.00
X-ray Exam of Ankle 396.00
MRI Brain Stem w/o Dye 3,645.00
CT Neck Spine w/o Dye 2,623.00
Chest – Portable 502.00
Chest X-Ray 1 View 249.00
Chest X-Ray 2 View 351.00
CT Angiograpy Chest 5,004.00
X-Ray Exam of Foot 396.00
X-Ray Exam of Hand 396.00
CT Head/Brain w/o Dye 1,956.00
X-Ray Exam Knee 4 Or More 483.00
X-Ray Exam of Abdomen, Single View 413.00
Mammo Scrn Digit Bil 504.00
Ultrasound Exam Pelvis 880.00
CT Pelvis w/o Dye 2,259.00
Transvaginal Ultrasound Non-Ob 880.00
Ultrasound Limited Retroperitioneal 956.00
Needle Placement Guidance w/Biopsy 789.00
X-Ray Shoulder Min 2v (Rt Or Lt) 449.00
X-Ray Neck Spine Cervical 4/5 Views 689.00
X-Ray L-2 Spine 4/>Views 699.00
CT Thorax w/Dye 2,909.00

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 166.00
Basic Metabolic PNLMC 237.00
Blood Culture 299.00
Cardiac BNP 156.00
CBC 104.00
Chlamydia AMP DNA 228.00
CK-MB 247.00
Comprehen Metabolic 410.00
CPK 36.00
Fingerstick 38.00
Glucose by Glucometer 61.00
Glycohemogolbin 68.00
Gram Stain 62.00
Hematocrit PCV 44.00
Hemoglobin (HGB) 61.00
Hepatic Func Panel MC 205.00
Lipid Profile 159.00
Magnesium 117.00
Phlebotomy – Manual Chg 56.00
Phosphorus 36.00
Prothrombin Time – PT 69.00
Protime by Coagucheck 45.00
Rout Urine w/Microscpy 91.00
Senstivity – Mic 97.00
Thromboplstn Time – Ptt 98.00
Troponin 120.00
TSH 132.00
Urine Culture 216.00
Venipucture 56.00
Vitamin D: 25-Hydroxy 223.00