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Procedure Pricing 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, 2011. Contact information may be found at the bottom of this list.

Room and Board -- Per Day
Room and Board charges include routine nursing services and supplies. Fees for non routine procedures are not reflected. Fees for provider services are also not reflected and will be billed separately by your provider. Patients may have additional charges, depending on the services performed.
Charges
Intensive Care $1,600.00
Nursery $434.00
Routine care
$650.00



Rehab Private $817.00
Rehab Semi-Private $574.00

Labor and Delivery
The following list does not include charges for anesthesia, drugs, or supplies required for a particular delivery room procedure. Fees for provider services or anesthesia administration are also not reflected and will be billed separately by your provider. Patients may have additional charges, depending on the services performed.
Charges
Normal Delivery $2,595.00
Cesarean Delivery $2,719.00
Amniocentesis $188.00

Occupational Therapy
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
Fluidotherapy $93.00
Neuromuscular Reeducation $73.00
OT Evaluation $150.00
Self Care Management Training $51.00
Therapeutic Exercise $95.00
Ultrasound Therapy $93.00
Whirlpool Therapy $93.00

Emergency Department Charges
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
Level 1 $158.00
Level 2 $210.00
Level 3 $433.00
Level 4 $861.00
Level 5 $1,087.00
Critical Care $1,245.00

Physical 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.
Charges
Electrical Stimulation Therapy $85.00
Gait Training Therapy $58.00
Manual Therapy $76.00
Neuromuscular Reeducation $73.00
Therapeutic Exercise $88.00
Ultrasound Therapy $93.00

Pulmonary Therapy
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
Airway Inhalation Treatment $33.00
Gait Chest Wall Manipulation, Initial $69.00
Evaluation of Wheezing $425.00
Initial Ventilator Management $873.00
Pulmonary Stress Test $270.00

Operating Room
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.
Set-Up Charge Additional 15-Minute Charge
Level 1, First 30 Min. $1,017.00 $408.00
Level 2, First 30 Min. $1,234.00 $496.00
Level 3, First 60 Min. $2,831.00 $568.00
Level 4, First 60 Min. $3,630.00 $728.00
Level 5, First 60 Min. $4,536.00 $908.00

X-Ray and Radiological
The following charges reflect our 30 most common x-ray and radiological procedures.
Charges
CAT (CT) Scans:
Chest $1,481.00
Face/Jaw $1,067.00
Head or Brain $1,395.00
Chest with Contrast $1,999.00
Chest, Angiography $1,798.00
Echo:
Abdomen $799.00
Pelvis $752.00
Transvaginal $891.00
MR/MRI:
Brain $2,159.00
Joint of Leg $1,969.00
Lumbar Spine $2,421.00
Mammograms:
Both Breasts, Diagnostic $193.00
Screening $108.00
Nuclear Medicine:
Heart Wall Motion, Add-On $692.00
X-Ray:
Abdomen $209.00
Abdomen, Series $536.00
Ankle $223.00
Chest, 1 View $203.00
Chest, 2 Views $250.00
Foot $292.00
Hand $223.00
Hip $203.00
Knee, 1 or 2 Views $223.00
Lower Spine $452.00
Neck Spine, 2/3 Views $244.00
Neck Spine, 4 Views $428.00
Shoulder $215.00
Thoracic Spine $368.00
Wrist $306.00
Dual Energy X-Ray Study $384.00

Laboratory
The following charges reflect our 30 most common laboratory procedures.
Charges
Antibiotic Sensitivity, MIC $61.00
Assay of Amylase, Serum $95.00
Assay of CK, CPK $45.00
Assay of Lipase $81.00
Assay of Magnesium $50.00
Assay of Phosphorus $38.00
Assay of Thyroid Stimulating Hormone $115.00
Assay of Troponin, Quant $76.00
Automated Hemogram $65.00
Basic Metabolic Panel $113.00
Blood Culture for Bacteria $67.00
Blood Gases, pH, pO2 & pCO2 $111.00
Blood Typing ABO $36.00
Comprehensive Metabolic Panel $181.00
Creatine, MB Fraction $85.00
Culture Specimen, Bacteria $59.00
Differential WBC Count $28.00
Drawing Blood $18.00
Glucose Blood Test $18.00
Glycated Hemoglobin Test $61.00
Hepatic Function Panel $114.00
Lipid Panel $138.00
Microscopic Exam of Urine $41.00
Natriuretic Peptide $69.00
Prothrombin Time (PT) $39.00
RBC Antibody Screen $59.00
RBC Sed. Rate Automated $47.00
Thromboplastin Time, Partial $44.00
Urinalysis, Auto, w/o Microscopy $36.00
Urine Culture, Colony Count $37.00

Contact Information
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.