Patient Pricing Information
In compliance with state law, University Hospital 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, 2013.
Room and Board – Per Day Charges
| |
Charges |
| Adult Intensive care |
|
| Neuro/Cardio/Medical/Surgical |
5,395.00 |
| Telemetry/ICU Stepdown |
2,255.00 |
| Adult Medical / Surgical |
|
| Semi-Private Standard |
1,855.00
|
| Semi-Private – Adult Epilepsy Unit |
4,190.00
|
| Semi-Private – Seidman Cancer Center |
4,190.00
|
| Telemetry – Seidman Cancer Center |
4,410.00
|
| Hanna House Rehabilitation Unit |
1,855.00
|
| Hanna House Skilled Nursing Unit |
1,680.00
|
| Psychiatric Unit |
|
| Semi-Private |
1,815.00
|
| MacDonald Gynecological and Obstetrics |
|
| Semi-Private -Standard |
2,010.00
|
| Semi-Private - High Risk |
2,610.00
|
| Nursery |
1,020.00
|
| Rainbow Babies and Children |
|
| Semi-Private – Med/Surg/CF |
2,870.00
|
| Semi-Private – Oncology |
4,195.00
|
| Pediatric Psychiatric Unit |
3,385.00 |
| Epilepsy Unit |
6,230.00
|
| Neonatal Intensive Care Unit |
8,140.00
|
| Neonatal Step Down Unit |
6,230.00
|
| Pediatric Intensive Care Unit |
8,800.00
|
| Pediatric ICU Critical Care/Trauma |
9,235.00
|
| Pediatric ICU Stepdown/Telemetry |
3,480.00
|
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 |
2,473.00
|
| Cesarean Section Delivery |
5,415.00
|
| Recovery Room per hour |
335.00
|
| Amniocentesis |
1,113.00
|
| Base Line Fetal Monitoring |
158.00
|
| Labor Room per hour |
292.00
|
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 |
250.00
|
| Level 2 |
410.00
|
| Level 3 |
784.00
|
| Level 4 |
1,073.00
|
| Level 5 |
1,985.00
|
| Critical care |
2,960.00
|
| 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 A3 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 A3 |
4,790.00
|
89.00
|
| Level B2 |
3,025.00
|
57.00
|
| Level C1 |
2,100.00
|
37.00
|
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 |
374.00
|
| Therapeutic Exercise each 15 minutes |
120.00
|
| Gait training each 15 minutes |
120.00
|
| Therapeutic Activities each 15 minutes |
120.00
|
| Manual Therapy each 15 minutes |
120.00
|
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 |
374.00
|
| Exercise each 15 minutes |
120.00
|
| Activity each 15 minutes |
120.00
|
| Self Care/Home Management each 15 min |
120.00
|
| Neuromuscular Re-education each 15 min |
120.00
|
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 |
225.00
|
| Manipulation Chest Wall Subsequent |
200.00
|
| CPAP Adult |
742.00
|
| Aerosol Treatment |
200.00
|
| Mechanical Ventilation ea day |
1,390.00
|
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 |
243.00
|
| Cardiac Stress Test |
1,991.00
|
| Echo Real Time |
3,712.00
|
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 |
602.00
|
| Chest 1 View Frontal |
292.00 |
| Digital Mammography Screening |
430.00
|
| Digital Mammography Unilateral |
360.00 |
| Digital Mammography Bilateral
|
523.00 |
| Computer Aided Detection w/Physician Review/Interpretation Diagnostic Mammography |
51.00
|
| Computer Aided Detection w/Physician Review/Interpretation Screening Mammography |
51.00
|
| Spinal Puncture Lumbar - Diagnostic |
1,149.00 |
| Abdomen Single Anteroposterior |
228.00
|
| Foot Complete Min 3 Views |
464.00
|
| Knee 3 Views |
362.00
|
| Shoulder Complete Min 2 Views |
445.00
|
| PET image w/concurrent CT skull/mid thigh |
7,320.00
|
| Bone Imaging Whole Body |
1,970.00
|
| Ultrasound Pelvis Non OB Complete |
1,309.00
|
| Ultrasound Abdomen Limited |
701.00
|
| Ultrasound Transvaginal |
1,403.00
|
| Ultrasound Pregnant Uterus Limited |
701.00
|
| Ultrasound Retroperitoneal Complete |
1,427.00
|
| Ultrasound Guidance for Needle Placement |
1,281.00
|
| Duplex Scan Extremity Veins Complete/Bilateral |
1,356.00
|
| 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 Cervical Spine without contrast |
2,109.00
|
| 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 |
5,361.00
|
| MRA Head without contrast |
2,391.00
|
Laboratory Charges
The following charges reflect the hospital's 30 most common laboratory procedures.
| |
Charges |
| Amylase |
48.00
|
| CK-MB |
76.00
|
| Basic Metabolic Panel |
192.00
|
| Bilirubin Direct |
30.00
|
| Bilirubin Total |
38.00
|
| ABG any combo pH/pCO2/pO2/CO2/HCO3 |
196.00
|
| Prothrombin Time |
50.00
|
| Calcium Ionized |
131.00
|
| Chloride Blood |
47.00
|
| Complete CBC Auto w/Auto Diff |
124.00
|
| Comprehensive Metabolic Panel |
277.00
|
| Glucose Quant Blood |
30.00
|
| Hematocrit |
46.00
|
| Hepatic Function Panel |
180.00
|
| Lactate Acid |
78.00
|
| LD LDH |
45.00
|
| Lipase |
52.00
|
| Magnesium |
84.00
|
| Sodium Serum |
73.00
|
| Renal Function Panel |
89.00
|
| AST SGOT |
30.00
|
| Phosphate Alkaline AP |
30.00
|
| Troponin Quant |
93.00
|
| Thyroid TSH |
89.00
|
| Uric Acid Blood |
30.00
|
Surgical Pathology
| |
Charges |
| Stains Group II |
144.00
|
| Level II Surgical Pathology |
223.00
|
| Level III Surgical Pathology |
427.00
|
| Level IV Surgical Pathology |
526.00
|
| Immunohistochemistry Ea AB Tissue/Slide |
411.00
|
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.
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/portal.