Price List

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, 2016.

Room & Board – Per Day Charges

Special
Care Unit

$1,820.70

Medical
Surgical Unit Private

$899.95

Medical
Surgical Unit Semi-Private

$780.30

Behavioral Health Unit

$1,015.26


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


$191.85

Level 2

$276.30

Level 3

$422.10

Level 4

$690.60

Level 5

$959.25

Level 6
(Critical Care)

$1,565.45


Urgent Care

Level 1


$102.30

Level 2

$123.15

Level 3

$183.20


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


$70.75

Recovery
Room per minute

$21.70


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


$255.75

Therapeutic
Exercise (ea 15 minutes)

$119.25

Gait
Training (ea 15 minutes)

$70.40

Manual
Therapy (ea 15 minutes)

$88.85

Electrical
Stimulation, Unattended

$99.35


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


$255.75

Therapeutic
Exercise (ea 15 minutes)

$119.25

Therapeutic
Activities (ea 15 minutes)

$119.25

Self Care /
Home Mgmt Training (ea 15 minutes)

$104.80


Neuromuscular Education (ea 15 minutes)

$80.65


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


$90.70

ECG 12 Lead
Tracing Only

$226.85

Pulm. Rehab.
Exer. Group Session

$117.90

Incentive
Spirometry (ea 15 minutes)

$44.35

Oxygen per
Hour – 1st Hour

$31.70

Oxygen per
Hour – Ea. Additional Hour

$8.85


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)

$585.50

Abdomen Flat
KUB

$313.15

Ankle

$316.80

Cervical
Spine Min 4 View

$281.40

Chest w/
Latera
l

$2,302.15

CT Abdomen
w/ Contrast

$1,733.70

CT Abdomen
w/o Contrast

$2,003.25

CT Cervical
Spine w/o Contrast

$2,302.15

CT Chest w/
Contrast

$1,733.70

CT Chest w/o
Contrast

$1,733.70

CT Head w/o
Contrast

$1,159.60

CT Pelvis w/
Contrast

$2,075.90

CT Pelvis w/o
Contrast

$1,507.50

Dexa Scan

$415.25

Foot 3 View

$216.45

Hand 3 View

$301.55

Hip Minimum 2
Views

$301.55

Knee 3 Views

$216.45

Lumbar Spine w/
Obliques

$301.55

Mammography
Digital Screening

$193.20

Myocardial
Perfusion (SPECT) Stress

$2,733.30

Pelvis

$158.10

Shoulder
Minimum 2 view

$301.55

Ultrasound /
Echo Gall Bladder

$667.60

Ultrasound /
Echo Kidney

$667.60

Ultrasound /
Echo Pelvis

$667.60

Ultrasound
Vaginal

$667.60

Wrist 3 View

$301.55


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

$41.65

Alanine Amino
(ALT SGPT)

$58.55

Basic Metabolic
Panel

$104.65

CBC / Platelet
& Auto Differential

$52.10

CK Total

$63.05

CKMB Profile

$90.05

Comprehensive
Metabolic Panel

$143.15

Creatinine,
Serum

$41.60

Culture – Blood

$100.43

Culture – Urine

$90.40

Definitive ID
Micro

$44.00

HCG Urine

$53.20

Hematocrit /
Hemoglobin

$29.15

Hemoglobin A1C

$75.15

Hepatic
Function Panel

$87.70

Lipid Panel
Profile

$98.35

Lipase

$61.95

Magnesium

$63.90

Protime

$41.75

PSA, Total

$126.70

SED Rate (ESR)

$32.65

Sensitivity

$71.65

Strep A Screen

$95.05

PTT

$52.55

Thyroid
Stimulating Hormone

$111.55

Transferase
(AST SGOT)

$50.00

Troponin

$101.35

Urinalysis w/
Microscopic

$47.15

Venipuncture
Collection Fee

$17.95

Vita D Hydroxy

$133.95

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/

Hocking Valley Community Hospital