2013 PATIENT PRICE INFORMATION LIST
In compliance with Section 3727.12 of the Ohio Revised Code, Harrison Community Hospital is providing this price list containing our charges for room and board, emergency department, operating room, and most common services offered by other departments physical therapy and other procedures. Hospital charges are the same for all patients, but a patient's responsibility may vary, depending on payment plans negotiated with individual health insurers. Uninsured patients should consult with our admitting and billing staff to determine whether they qualify for charity programs or other discounts. The following prices are correct as of January 1, 2013.
2013 HARRISON COMMUNITY HOSPITAL
ROOM AND BOARD - Per Day Charges:
Acute Care
Skilled Care
Intensive Care
Comprehensive Care
$605
$472
$1,363
$1.170
PHYSICAL THERAPY CHARGES:
Evaluation
Ultrasound treatment/15 min.
Gait training
Therapeutic Exercise
Electrical Stimulation
$224.75
$ 71.25
$ 64.75
$ 75.00
$ 75.00
CARDIOPULMONARY CHARGES:
Cardiac Rehabilitation
Oxygen Therapy/Daily
Echocardiography
EKG
Nebulizer Treatments
Nuclear Med. Stress Tests
$ 407.00
$ 131.25
$2,271.50
$ 92.75
$ 77.00
$2,170.75
LABORATORY CHARGES:
Venipuncture
CBC
BNP
Lipid Panel
Protime/INR
CMP
BMP
Urinalysis w/micro
Urinalysis w/o micro
CK
Creatinine
TSH
BUN
Troponin
CK-MB
Hemoglobin A1C
AST (SGOT)
ALT (SGPT)
Glucose
Hepatic Panel
Urine culture
Magnesium
Sensitivity
Blood culture
Glucose (BGM)
Sed Rate
Rapid strep
PSA
Microalbumin
Surgical Path IV
$ 16.75
$ 74.00
$170.25
$126.75
$ 63.75
$189.75
$125.25
$ 44.75
$ 25.25
$ 59.50
$ 59.50
$105.25
$ 59.50
$135.75
$126.75
$147.00
$ 59.50
$ 59.50
$ 59.50
$113.50
$ 95.00
$ 74.25
$ 46.25
$ 95.00
$ 38.75
$ 63.75
$ 60.25
$167.75
$107.25
$ 95.00
EMERGENCY DEPARTMENT CHARGES:
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.
Level 1 ER Services
Level 2 ER Services
Level 3 ER Services
Level 4 ER Services
Level 5 ER Services
Critical Care ER Services
Level 1 ER Physician Services
Level 2 ER Physician Services
Level 3 ER Physician Services
Level 4 ER Physician Services
Level 5 ER Physician Services
Critical Care ER Physician Services (30-74 min)
each additional 30 min.
$ 144.00
$ 215.75
$ 359.25
$ 523.75
$ 767.25
$1,037.00
$ 94.25
$ 153.25
$ 324.25
$ 503.50
$ 787.25
$1,054.00
$ 521.75
OPERATING ROOM CHARGES:
Operating Room charges are based on the type of procedure performed. Charges range from $4,480 to $15,163. Additional charges are incurred for surgical supplies utilized during the procedure. CRNA services are billed at $409.50 for first 15-minute unit and $78.75 per each additional 15-minute unit.
X-RAY AND RADIOLOGICAL CHARGES:
Chest, single view
Chest, 2 view
Lumbar spine
Cervical spine
CT lumbar spine
CT cervical spine
CT head w/o contrast
CT abdomen/pelvis w/o contrast
CT abdomen w/o & with/pelvis with contrast
CT reconstruction
Nuclear Med Cardiac Stress Test
Ultrasound abdomen limited study
Ultrasound transvaginal
Ultrasound kidneys
Ultrasound carotids
Ultrasound unilateral venous Doppler
$ 141.25
$ 237.25
$ 416.75
$ 313.50
$1,247.75
$1,247.75
$1,040.25
$2,501.25
$2,501.25
$ 313.50
$3,692.00
$ 416.75
$ 416.75
$ 416.75
$ 895.00
$ 484.00
MRI lumbar
MRI cervical
MI knee
Ankle, 4 view
Foot, 3 view
Knee, 4 view
Hand, 3 view
Hip, 2 view
Shoulder, 3 view
Wrist, 4 view
Elbow, 4 view
Ribs, 3 view
Dorsal
Mammogram screening
$2,581.75
$2,581.75
$2,744.25
$ 157.50
$ 157.50
$ 238.25
$ 157.50
$ 209.50
$ 226.00
$ 157.50
$ 157.50
$ 496.00
$ 209.50
$ 178.25
HARRISON COMMUNITY HOSPITAL