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Hospital Charges

 

In compliance with state law, University Hospitals Elyria Medical Center 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, 2014.


Room and Board - Per Day Charges

 Medical/Surgical/Pediatrics/Obstetrics
 

 

Charges
ICU/CCU $    2,586.00
Nursery $       654.00
Neonatal ICU $    1,528.00
Psychiatric Care $    1,281.00
Monitored $    1,260.00
Semi-Private $    1,167.00
   

Emergency Department Charges

Emergency Department charges are based on the level of emergency care provided to our patients.  The categories, with Category I 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
Category I $       156.00
Category II $       296.00
Category III $       433.00
Category IV $       796.00
Category V $     1,130.00
   

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 physicians services or anesthesia administration are also not reflected and will be billed separately by your physician.

 
  Charges
Cesarean Section Delivery $    3,534.00
D & C $    2,208.00
Fetal Monitor-External $       431.00
Fetal Monitor-Internal $       587.00
Labor & Delivery  $    2,783.00
Non Stress Fetal Monitor $       178.00
Phototherapy $       112.00
   

Laboratory Charges

The following charges reflect the hospital's 30 most common laboratory procedures.

   
  Charges
AB Detect 37 C $         73.00
AB Screen IGG $         73.00
Amylase Serum $       129.00
APTT $         76.00
Auto Blood Count W/Difference $         87.00
B Type Natriuretic Peptid $       165.00
Basic Metabolic Profile (BMP) $         84.00
Blood Count - Automated $         84.00
Blood Culture $       186.00
Comp Test IS $       133.00
Complete Metabolic Panel $        109.00
CPK Serum $         55.00
CRP High Sensitivity Test $       118.00
Hepatic Function Panel $         70.00
HGB $           6.00
LDH $         54.00
LDL Cholesterol $         72.00
Lipase $       166.00
Lipid Profile $         77.00
Magnesium $         52.00
Mic Sensitivity $         82.00
Myoglobin $         67.00
Pap Smear Liquid Prep $        108.00
Phosphate Inorg $         61.00
Potassium Serum K $         39.00
Pregnancy Test - urine $         45.00
Prostate Specific Antigen $         82.00
Prothrombin Time $         69.00
Sediment Rate $         40.00
Strep Screen $         56.00
Surg Process/Level IV $         65.00
Surgical Process/Level 1 $         68.00
Troponin_1 $         66.00
TSH $       125.00
Urinalysis & Micro $         30.00
Urine Culture

$       116.00

   

Occupational/Speech Therapy Charges

The folloiwng charges reflect the most common services offered by our Occupational Therapy department.  Patients may have additional charges, depending on the services performed.

   
  Charges
Therapeutic Ex, 15 min. $         88.00
Therapeutic/Functional Treatment $         81.00
Neuro Re-Education, Each 15 Min. $         83.00
Self Care/ADL Train, 15 Min. $         99.00
OT Evaluation $       195.00
Fluidotherapy $         81.00
OT Re-Evaluation $       124.00
Custom Splint FAB, 15 Min. $         87.00
Swallowing Evaluation $       322.00
Swallowing Treatment $       201.00
Speech Therapy $       211.00
Speech Therapy Evaluation $       327.00
   

Operating Room Charges

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.

   
  First Hour Charge Additional 15- Minute Charge
Level 1 $     1,389.00 $       371.00
Level 2 $     2,073.00 $       425.00
Level 3 $     2,377.00 $       456.00
Level 4 $     2,631.00 $       667.00
Level 5 $     2,996.00 $       749.00
   

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
Therapeutic Exercise, 1st 15 Min. $         88.00
Therapeutic ACT, Each 15 Min. $         81.00
Gait Training, Each 15 Min. $         88.00

PT Evaluation

$       206.00
Ultrasound, Each 15 Min. $         86.00
Neuromusc Re-Ed, Each 15 Min. $         83.00
E-Stimulation Unattended $         75.00
   

Repiratory/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
Treatment - Hand Nebulizer $       100.00
Blood Gases $       162.00
Treatment - Chest Clapping $         78.00
Treatment - Pulse Oximeter $         37.00

Sleep Lab Charges 

The following charges reflect the most common services offered by our Sleep Lab department.  Patients may have additional charges depending on the services performed.
Charges
Polysomnogram - 41409004 $   4,262.00
PAP Titration - 41401092 $   5,661.00
Multiple Sleep Latency Test - 41400011 $   3,762.00
Maintenance of Wakefulness Test - 41400110 $   3,762.00
   

X-Ray and Radiological Charges

The following charges reflect the hospital's 30 most common x-ray and radiologial procedures.

   
  Charges
ABD Acute $       473.00
Ankle 3 or More Views $       235.00
Carotid Duplex $       987.00
Chest 2 View Posterior/Anterior & Lateral $       268.00
Chest PA $       129.00
Chest Portable PA or AP $       220.00
CT Abdomen W/Contrast $    1,756.00
CT Abdomen W/O Contrast $    1,551.00
CT Cerv Spine W/O Contrast $    1,845.00
CT Head/Brain W/O Contrast $    1,187.00
CT Maxillofacial W/O Contrast #    1,139.00
CT Pelvis W/Contrast $    1,685.00
CT Thorax W/Contrast $    1,590.00
CTA PE Scan $    1,879.00
Digital Bilateral Mammograpjy $       425.00
First Trimester Preg Echo $       769.00
Foot 3 or More Views $       240.00
Forearm AP & Lat $       446.00
Hand 3 or More Views $       238.00
Hip 2 or More Views $       341.00
Knee less than 3 Views $       234.00
Knee Non-Trauma 4 > Views $       527.00
Knee Trauma 4 > Views $       527.00
KUB/Abdominal Single View $       249.00
Limited Retroperitoneum $       531.00
MRI Brain W/Contrast $    2,155.00
Pelvic Non-OB Female Echo $       568.00
Screen Mammography - Digital $       240.00
Shoulder 2 or More Views $       367.00
Spect Myocard. Multi $    2,926.00
Spine  C Minimum 4 Views $       439.00
Spine L Minimum 4 Views $       496.00
Stress Test $       534.00
Transvaginal Echo $       400.00
Wrist 3 or More Views $       254.00
   

 Hospital Billing Policies

Thank you for choosing University Hospitals Elyria Medical Center for your health care needs!

 

BILLING POLICY SUMMARY:

IF YOU HAVE QUESTIONS OR NEED ASSISTANCE WITH YOUR BILL:  We provide Patient Account Representatives to assist you.  They furnish information, make payment arrangements and help you resolve insurance billing problems.
   

BY PHONE - Our Customer Service Representatives are at 440-329-7833, Monday - Friday from 7:30 a.m. to 5:00 p.m.

IN PERSON - You may meet with a representative at the hospital Monday - Friday from 7:30 a.m. to 5:00 p.m.  The representatives are next to the cashier in the main lobby at UH Elyria Medical Center [630 East River Street, Elyria, OH 44035].

   
   

CHARGES:  Although hospital charges can be high, we work to keep our prices the lowest in our community.  A price list of our most common services is published for you.  If you believe you are being billed for a service you did not receive, call us and we will investigate immediately.

   
   
INTEREST:  We do not calculate nor charge interest on outstanding payments.  Ohio's Prompt Pay law requires some insurers to pay interest automatically if they do not pay within the law's timeframes.  Federal law requires Medicare to pay interest automatically on certain delayed payments.
   
   

BILLING AND PAYMENTS:  We will bill your insurance(s) at no charge.  Unless there is a long delay, we will not bill you for your co-payment or deductible until your insurance has decided your benefits.

You may pay us using the "Pay My Bill" tab on this website, by mail, by phone using a credit card (call our Customer Service Lines) or by visiting the Cashier at UH Elyria Medical Center located in the front lobby.

   
   
FINANCIAL ASSISTANCE WITH YOUR BILL:  University Hospitals Elyria Medical Center has a strong commitment to serving our community.  We provide services for all who are in need regardless of their ability to pay.
   

Free care is available to families whose income is less than the Federal Income Guideline, which is updated each year.  For example, the guideline for 2014 is $23,340 for a family of one and $8,120 added for each additional family member.  Discounts can be applied when a family's income is higher than that, but less than $35,010 for a family of one.  Please call to see if you qualify for discounts or free care.

Payment Arrangements:  Understanding that even fortunate people cannot always pay their healthcare bills immediately, it is our goal to arrive at mutually agreeable payment arrangements which take into consideration a family's income and expenses.  If paying your bill in full would create a hardship for your household, we will set up affordable payments.  No interest or set-up fees are charged.

   
   
COLLECTION AGENCIES:  We value our patients and customers.  Balances are sent to collection agencies as a last resort.  We prefer to arrive at payment arrangements that recognize the patient's financial ability as well as the hospital's need to be paid for services provided.
   
   
OTHER BILLS:  You may receive bills from physicians who helped with your care while you were a patient.  These professionals are not employed by the hospital and bill separately for their services.  Should you have questions about their charges, contact them directly.  To contact a physician not listed here, please refer to the phone number on their bill.
   
Physician Group Type of Services Phone Number
Emergency Medicine Consultants Emergency Room Professional Services 1-888-253-7165
Drs. Russell, Berkebile & Associates Radiology (X-Ray) Interpretations 1-800-232-3048
Regional Pathology Pathology (Lab) Interpretations 1-800-232-3048
Elyria Anesthesia Services Anesthesia Services at Elyria 1-440-323-8458
   

The Consumer's Guide to Quality Health Care in Ohio

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.

 
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