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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. Prices are rounded to the nearest dollar and are correct as of January 1, 2015. 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 $1,734.00
Nursery $588.00
Routine care $705.00

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
Amniocentesis $223.00
Cesarean Delivery with epidural $3,487.00
Normal Delivery with epidural $2,824.00

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
Dynamic Activity (15 min.) $152.00
Fluidotherapy $123.00
Manual Therapy $100.00
Neuromuscular Reeducation (15 min.) $97.00
OT Evaluation $197.00
Self Care Management Training (15 min.) $66.00
Therapeutic Exercise (15 min.) $125.00

Emergency Department

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 $228.00
Level 2 $304.00
Level 3 $625.00
Level 4 $1,240.00
Level 5 $1,566.00
Critical Care (first 30-74 min.) $1,794.00

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 $108.00
Dynamic Activity $152.00
Gait Training (15 min.) $77.00
Manual Therapy $100.00
Neuromuscular Reeducation (15 min.) $97.00
PT Evaluation $215.00
Therapeutic Exercise (15 min.) $115.00
Ultrasound Therapy $123.00

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.Pulmonary Therapy

Charges
Aerosol Treatment, Initial or Subsequent $77.00
CPAP, subsequent day $318.00
Incentive Spirometer unit $105.00
Oxygen service, per day $88.00
Hand Held Nebulizer Treatment $40.00

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. $1,195.00 $480.00
Level 2, First 30 Min. $1,451.00 $583.00
Level 3, First 60 Min. $3,327.00 $667.00
Level 4, First 60 Min. $4,266.00 $857.00
Level 5, First 60 Min. $5,331.00 $1,067.00

X-Ray and Radiological

The following charges reflect our 30 most common x-ray and radiological procedures.

Charges
CAT (CT) Scans:
Abdomen/Pelvis (without contrast) $3,325.00
Abdomen/Pelvis (with contrast) $3,800.00
Angiography, chest, 3D, with/without contrast $1,714.00
Cervical Spine (without contrast) $1,910.00
Head or Brain (without contrast) $1,325.00
Thorax (with contrast) $1,905.00
Thorax (without contrast) $1,412.00
Ultrasound:
Abdomen, limited $715.00
Pelvis, non-OB $819.00
Retroperitoneal, limited $529.00
Soft tissue, head & neck $590.00
MR/MRI:
Brain (without contrast) $2,032.00
Lumbar Spine (without contrast) $2,276.00
Mammography (Includes CAD):
Both Breasts, Diagnostic $292.00
Both Breasts, Screening $268.00
 Unilateral Breast, Diagnostic $243.00
EKG:
 EKG/12 Lead $199.00
X-Ray
Abdomen, acute series with chest $593.00
Abdomen, single AP view $232.00
Ankle, minimum 3 views $272.00
Bone Density Scan (DEXA Scan) $468.00
Chest, 1 view $247.00
Chest, 2 views $305.00
Foot, minimum 3 views $356.00
Hand, 3 views $272.00
Hip, 2 views $247.00
Spine, Cervical 4/5 views $522.00
Spine, lumbosacral w/obliques, 4+ views $520.00
Spine, lumbosacral, 2-3 views $425.00
Wrist, 3+ views $374.00

Laboratory

The following charges reflect our 30 most common laboratory procedures. An additional fee is charged for drawing blood.

Charges
Antibiotic Sensitivity, each organism $73.00
Antibody Screen, RBC $62.00
Automated CBC $68.00
Basic Metabolic Panel $118.00
Blood Culture $78.00
Blood Typing ABO $38.00
Comprehensive Metabolic Panel $189.00
Creatine, MB Fraction (CK-MB) $89.00
Drawing Blood (Routine Venipuncture) $21.00
Free Thyroxine $106.00
Glucose Blood Test $19.00
Glycated Hemoglobin Test (HgbA1c) $64.00
HCG, Urine $76.00
Hepatic Function Panel $151.00
Lipase level $85.00
Lipid Panel $145.00
Magnesium level $47.00
Microscopic Exam of Urine $43.00
Natriuretic Peptide (BNP) $78.00
PAP, Liquid based $118.00
Partial Thromboplastin Time (PTT) $46.00
Prothrombin Time (PT) $41.00
SGOT (AST) $55.00
SGPT (ALT) $47.00
Thyroid Stimulating Hormone (TSH) $121.00
Troponin I $80.00
Urine Culture & Colony Count $44.00
Urinalysis with Microscopy $45.00
Urinalysis w/o microscopy $38.00
Vitamin D, Hydroxy $75.00

Contact Information

Financial aid or other programs – 740-420-8020
Questions about a bill, statement or other patient concern – 740-420-8020
For information about prices for other hospital services – 740-420-8020