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Patient Price Information List

In an effort to assist our patients in making informed decisions regarding the quality and charges of the care they receive, Hocking Valley Community Hospital is providing this price list containing our charges for Room and Board, Emergency Department, Operating Room, Delivery, Physical Therapy and other procedures. Our hospital’s charges are the same for all of our patients, but a patient’s responsibility may vary, depending on the payment plans negotiated with the individual’s health insurance provider. Uninsured and underinsured patients should consult with our Patient Accounts staff to determine whether they qualify for discounts. These prices are correct as of January 1st, 2012.

Room & Board – Per Day Charges

Special Care Unit
 $1,273.10
Medical Surgical Unit Private
 $622.25
Medical Surgical Unit Semi-Private
 $541.05
Behavioral Health Unit
 $947.40

 

Emergency Department & Urgent Care Charges
Emergency Department and Urgent Care charges are based on the level of emergency care provided to our patients. Patients are assessed by a nurse upon arrival to determine which department of care, either emergent or urgent is most appropriate. The levels, with level 1 representing basic emergency or urgent 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.

Emergency Department

Level 1
 $132.60
Level 2
$190.95
Level 3
$291.75
Level 4
$477.40
Level 5
$663.05
Level 6 (Critical Care)
 $1,082.10


Urgent Care

Level 1
 $92.65
Level 2
$111.55
Level 3
$165.95

 

Operating Room Charges
Operating Room charges are based on the length of time involved in the procedure, as well as the time spent while the patient is in recovery. These charges do not include charges for anesthesia, drugs, or supplies required for a particular surgery. Fees for physician services or anesthesia administration are also not reflected, and will be billed separately by your physician.

Operating Room per minute
 $48.70
Recovery Room per minute
 $19.10

 

Physical Therapy Charges
The following charges represent the most common services offered by our Physical Therapy department. Patients may have additional charges, depending on the services performed.

PT Evaluation
$218.45
Therapeutic Exercise (ea 15 minutes)
 $101.80
Gait Training (ea 15 minutes)
 $60.15
Manual Therapy (ea 15 minutes)
 $74.35
Electrical Stimulation, Unattended
 $84.85

 

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

OT Evaluation
$218.45
Therapeutic Exercise (ea 15 minutes)
 $101.80
Therapeutic Activities (ea 15 minutes)
 $101.80
Self Care / Home Mgmt Training (ea 15 minutes)
 $95.50
Neuromuscular Education (ea 15 minutes)
 $68.85

 

Respiratory Therapy Charges
The following charges represent the most common services offered by our Respiratory Therapy department. Patients may have additional charges, depending on the services performed.

Aero Mobil / Broncho / Sput
 $82.20
ECG 12 Lead Tracing Only
 $205.55
Pulm Rehab Exer Group Session
 $78.00
Incentive Spirometry (ea 15 minutes)
 $40.20
Oxygen per Hour – 1st Hour
 $29.55
Oxygen per Hour – Ea. Additional Hour
 $8.25

 

Radiology Procedure Charges
The following charges represent the 30 most common procedures offered by our Radiology department. Patients may have additional charges, depending on the services performed. Fees for Radiology interpretation are also not reflected, and will be billed separately by your physician.
 

Abdomen Exam Series (AAS)
$530.45
Abdomen Flat KUB
 $216.45
Ankle
 $216.45
Cervical Spine Min 4 View
 $287.05
Chest w/ Lateral
 $238.70
CT Abdomen w/ Contrast
 $2,148.30
CT Abdomen w/o Contrast
 $1,617.85
CT Cervical Spine w/o Contrast
$1,869.35
CT Chest w/ Contrast
 $2,148.30
CT Chest w/o Contrast
 $1,617.85
CT Head w/o Contrast
 $1,082.10
CT Pelvis w/ Contrast
 $1,937.20
CT Pelvis w/o Contrast
 $1,406.75
Dexa Scan
 $287.05
Foot 3 View
 $216.45
Hand 3 View
 $216.45
Hip Minimum 2 Views
 $216.45
Knee 3 Views
 $216.45
Lumbar Spine w/ Obliques
 $307.70
Mammography Digital Screening
 $133.55
Myocardial Perfusion (SPECT) Stress
 $2,512.55
Pelvis
 $113.50
Shoulder Minimum 2 view
 $216.45
Ultrasound / Echo Gall Bladder
 $604.85
Ultrasound / Echo Kidney
 $604.85
Ultrasound / Echo Pelvis
 $604.85
Ultrasound Vaginal
 $604.85
Wrist 3 View
 $216.45

 

Laboratory Charges
The following charges represent the 30 most common procedures offered by our Laboratory department. Patients may have additional charges, depending on the services performed. Fees for Pathology interpretation are also not reflected, and will be billed separately by your physician.

ABO Blood Type
 $37.75
Alanine Amino (ALT SGPT)
 $53.00
Basic Metabolic Panel
 $97.65
CBC / Platelet & Auto Differential
 $47.25
CK Total
 $43.60
CKMB Profile
 $81.90
Comprehensive Metabolic Panel
 $133.60
Creatinine, Serum
 $37.70
Culture – Blood
 $90.85
Culture – Urine
 $81.90
Definitive ID Micro
 $44.00
HCG Urine
 $48.20
Hematocrit / Hemoglobin
 $26.40
Hemoglobin A1C
 $70.15
Hepatic Function Panel
 $79.45
Lipid Panel Profile
 $91.80
Lipase
 $56.10
Magnesium
 $57.85
Protime
 $37.85
PSA, Total
 $114.80
SED Rate (ESR)
 $29.60
Sensitivity
 $64.90
Strep A Screen
 $86.10
Thromboplastin Time, Partial
 $47.60
Thyroid Stimulating Hormone
 $101.05
Transferase (AST SGOT)
 $45.30
Troponin
 $91.80
Urinalysis w/ Microscopic
 $44.00
Venipuncture Collection Fee
 $16.25
Vita D Hydroxy
 $226.80

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 the following address:

http://www.ohiohealthcareguide.org/