| Berger Hospital Patient Price Information List | ||||||||||||||||
| In compliance with state law, Berger Hospital is providing this price list containing our charges for room and board, emergency department, operating room, newborn delivery and nursery, 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, 2008. Contact information may be found at the bottom of this list. | ||||||||||||||||
| Room and Board -- Per Day | Labor and Delivery | |||||||||||||||
| Room and Board charges include routine nursing services and supplies. Fees for non routine | The following list does not include charges for anesthesia, drugs, or supplies required for a particular | |||||||||||||||
| procedures are not reflected. Fees for physician services are also not reflected and will be | delivery room procedure. Fees for physician services or anesthesia administration are also not reflected, | |||||||||||||||
| billed separateley by your physician. Patients may have additional charges, depending on the | and will be billed separately by your physician. Patients may have additional charges, depending on | |||||||||||||||
| the services performed. | the services performed. | |||||||||||||||
| Charges | ||||||||||||||||
| Intensive care | $ 900.00 | Charges | ||||||||||||||
| Nursery | $ 401.00 | Normal Delivery | $ 2,310.00 | |||||||||||||
| Routine care | Private | $ 435.00 | Cesarean Delivery | $ 2,420.00 | ||||||||||||
| Routine care | Semi-Private | $ 386.00 | Amniocentesis | $ 167.00 | ||||||||||||
| Rehab | Private | $ 755.00 | Fetal Monitor per hour | $ 411.00 | ||||||||||||
| Rehab | Semi-Private | $ 530.00 | ||||||||||||||
| Occupational Therapy | Emergency Department 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. | Emergency Department charges are based on the complexity level of care provided. The levels, with level 1 representing basic emergency care, reflect 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. Patients may have additional charges, depending on the services performed. | |||||||||||||||
| Charges | Charges | |||||||||||||||
| Fluidotherapy | $ 78.00 | Level 1 | $ 144.00 | |||||||||||||
| Neuromuscular Reeducation | $ 62.00 | Level 2 | $ 172.00 | |||||||||||||
| OT Evaluation | $ 137.00 | Level 3 | $ 398.00 | |||||||||||||
| Self Care Management Training | $ 43.00 | Level 4 | $ 791.00 | |||||||||||||
| Therapeutic Exercise | $ 80.00 | Level 5 | $ 1,000.00 | |||||||||||||
| Ultrasound Therapy | $ 78.00 | Critical Care | $ 1,145.00 | |||||||||||||
| Whirlpool Therapy | $ 78.00 | |||||||||||||||
| Physical Therapy | Pulmonary Therapy | |||||||||||||||
| The following charges reflect the most common services offered by our Physical Therapy department. Patients may have additional charges, depending on the services performed. | 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 | Charges | |||||||||||||||
| Electrical Stimulation Therapy | $ 77.00 | Airway Inhalation Treatment | $ 27.00 | |||||||||||||
| Gait Training Therapy | $ 48.00 | Chest Wall Manipulation, Initial | $ 58.00 | |||||||||||||
| Manual Therapy | $ 65.00 | Evaluation of Wheezing | $ 385.00 | |||||||||||||
| Neuromuscular Reeducaiton | $ 62.00 | Initial Ventilator Management | $ 802.00 | |||||||||||||
| Therapeutic Exercise | $ 80.00 | Pulmonary Stress Test | $ 247.00 | |||||||||||||
| Ultrasound Therapy[1] | $ 78.00 | |||||||||||||||
| Operating Room | X-Ray and Radiological | |||||||||||||||
| Operating Room charges are based on the complexity level, with level 1 being the most basic, for a particular operation There is an initial, set-up charge as well as an additional charge for each 15 minutes while the operation is being performed. Patients may have additional charges, depending on the services performed | The following charges reflect our 30 most common x-ray and radiological procedures. | |||||||||||||||
| Set-Up Charge | Additional 15-Minute Charge | Charges | ||||||||||||||
| Level 1, First 30 Min. | $ 849.00 | $ 340.00 | CAT (CT) Scans: | |||||||||||||
| Level 2. First 30 Min. | $1,031.00 | $ 413.00 | Chest | $ 1,402.00 | ||||||||||||
| Level 3, First 60 Min. | $2,365.00 | $ 473.00 | Face/Jaw | $ 1,010.00 | ||||||||||||
| Level 4, First 60 Min. | $3,033.00 | $ 607.00 | Head or Brain | $ 1,321.00 | ||||||||||||
| Chest with Contrast | $ 1,893.00 | |||||||||||||||
| Laboratory | Chest, Angiography | $ 1,703.00 | ||||||||||||||
| Echo: | ||||||||||||||||
| The following charges reflect our 30 most common laboratory procedures. | Abdomen | $ 577.00 | ||||||||||||||
| Pelvis | $ 661.00 | |||||||||||||||
| Charges | Pelvis | $ 661.00 | ||||||||||||||
| Antibiotic Sensitivity, MIC | $ 52.00 | Transvaginal | $ 783.00 | |||||||||||||
| Assay of Amylase, Serum | $ 80.00 | MR/MRI: | ||||||||||||||
| Assay of CK, CPK | $ 38.00 | Brain | $ 1,893.00 | |||||||||||||
| Assay of Lipase | $ 67.00 | Joint of Leg | $ 1,795.00 | |||||||||||||
| Assay of Magnesium | $ 38.00 | Lumbar Spine | $ 2,208.00 | |||||||||||||
| Assay of Phosphorus | $ 31.00 | Mammograms: | ||||||||||||||
| Assay of Thyroid Stimulating Hormone | $ 97.00 | Both Breasts, Diagnostic | $ 171.00 | |||||||||||||
| Assay of Troponin, Quant | $ 65.00 | Screening | $ 95.00 | |||||||||||||
| Automated Hemogram | $ 59.00 | Nuclear Medicine: | ||||||||||||||
| Basic Metabolic Panel | $ 95.00 | Heart Wall Motion, Add-On | $ 636.00 | |||||||||||||
| Blood Culture for Bacteria | $ 56.00 | X-Ray | ||||||||||||||
| Blood Gases, pH, pO2 & pCO2 | $ 93.00 | Adbomen | $ 190.00 | |||||||||||||
| Blood Typing ABO | $ 31.00 | Abdomen, Series | $ 488.00 | |||||||||||||
| Comprehensive Metabolic Panel | $ 154.00 | Ankle | $ 198.00 | |||||||||||||
| Creatine, MB Fraction | $ 71.00 | Chest, 1 View | $ 171.00 | |||||||||||||
| Culture Specimin, Bacteria | $ 49.00 | Chest, 2 Views | $ 210.00 | |||||||||||||
| Differential WBC Count | $ 24.00 | Foot | $ 260.00 | |||||||||||||
| Drawing Blood | $ 15.00 | Hand | $ 198.00 | |||||||||||||
| Glucose Blood Test | $ 15.00 | Hip | $ 180.00 | |||||||||||||
| Glycated Hemogloblin Test | $ 51.00 | Knee, 1 or 2 Views | $ 198.00 | |||||||||||||
| Hepatic Function Panel | $ 122.00 | Lower Spine | $ 402.00 | |||||||||||||
| Lipid Panel | $ 116.00 | Neck Spine, 2/3 Views | $ 217.00 | |||||||||||||
| Microscopic Exam of Urine | $ 37.00 | Neck Spine, 4 Views | $ 380.00 | |||||||||||||
| Natriuretic Peptide | $ 63.00 | Shoulder | $ 180.00 | |||||||||||||
| Prothrombin Time (PT) | $ 35.00 | Thoracic Spine | $ 307.00 | |||||||||||||
| RBC Antibody Screen | $ 52.00 | Wrist | $ 272.00 | |||||||||||||
| RBC Sed. Rate Automated | $ 43.00 | Dual Energy X-Ray Study | $ 341.00 | |||||||||||||
| Thromboplastin Time, Partial | $ 40.00 | |||||||||||||||
| Urinalysis, Auto, w/o Microscopy | $ 32.00 | Contact Information | ||||||||||||||
| Urine Culture, Colony Count | $ 30.00 | |||||||||||||||
| Financial aid or other programs available - 740 420-8059 | ||||||||||||||||
| Questions about a bill, statement or other patient concern - 740 420-8020 | ||||||||||||||||
| For information about prices for other hospital services - 740 420-8054 | ||||||||||||||||
| Additional information may be found in the Hospital Billing and Collection | ||||||||||||||||
| Policies section at www.bergerhealth.com. | ||||||||||||||||