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Patient Price Information

Patient Price Information

In compliance with state law, Lima Memorial Health System is providing this price list containing our charges for room and board, emergency, 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 01/01/17. For more information about patient pricing, call 419-226-5040.

Room and Board – Per-Day Charges

Charges
Routine Care $869.00
Obstetrics Inpatient $927.00
Transitional Care Inpatient $524.00
Labor/Delivery Birthing Room $1,274.00
Pediatrics Inpatient $869.00
Rehab Inpatient $641.00
Nursery $1,234.00
Intensive Care $1,622.00
HVU Inpatient $1,671.00
CIU Inpatient $1,390.00

Labor and Delivery Charges

The following list does not include charges for room rates, anesthesia, drugs, or supplies required for a particular delivery room procedure. Fees for physician services or anesthesia administration are also not reflected, and will be billed separately by your physician.

Charges
Normal Delivery $5,496.00
Cesarean Section Delivery $9,715.00
Amniocentesis $1,503.00

Emergency Department Charges

Emergency Center charges are based on the level of emergency care provided to our patients. The levels, with Level 1 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 Center physicians, radiologists or pathologists, who will bill separately for their services.

Charges
Emergency Level 1 $113.00
Emergency Level 2 $287.00
Emergency Level 3 $590.00
Emergency Level 4 $1,071.00
Emergency Level 5 $1,419.00
Trauma Care - Level 1 $13,127.00
Trauma Care - Level 2 $9,188.00
Trauma Care - Level 3 $4,595.00
Critical Care $2,608.00

Operating Room Charges

Operating room charges are based on the complexity level, with Level 1 being the most basic, for a particular operation. The prices will vary by the amount of time it takes as well as by the complexity of the procedure. These charges do not include fees for anesthesiology, drugs, supplies, or additional ancillary procedures that may be required for a particular operation.

Charges

Level 1 - Includes procedures with minimal equipment and usually two to three nurses (one being an RN)

Initial Setup Charge $5,344.00
Each Addtl. 15 minutes $737.00

Level 2 - Includes procedures that require additional equipment (power drill, saws, video, laser). Would also require two or more nurses. If critical, procedure/patient will need two RNs.

Initial Setup Charge $5,856.00
Each Addtl. 15 minutes $1,068.00

Level 3 - Includes procedures done in the open-heart rooms, except pacemakers done in the open-heart rooms (which will be charged as a Level 2).

Initial Setup Charge $13,869.00
Each Addtl. 15 minutes $1,986.00

Level 5 - Cases utilizing the daVinci SI and XI Robot.

Initial Setup Charge $5,856.00
Each Addtl. 15 minutes $1,116.00

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 - 15 minutes $99.00
Aquatic Therapy - 15 minutes $138.00
Gait Training - 15 minutes $112.00
Dynamic Therapy Activities - 15 minutes $119.00
Neuromuscular Re-Education - 15 minutes $138.00
PT Evaluation $285.00
Self-Care/Home Mgmt Training - 15 minutes $101.00
Aquatic Group Therapy - 15 minutes $143.00
Hot or Cold Packs $38.00
Manual Therapy - 15 minutes $138.00
Ultrasound - 15 minutes $115.00
Muscle Testing, Manual Extremity $77.00
Mechanical Traction $128.00
Vasopneumatic Pump $111.00
Wheelchair Mobility Training - 15 minutes $83.00
Electric Stim, Unattended - 15 minutes $98.00
Concussion Mgmt, Initial Assessment $110.00
PT Re-evaluation $168.00
Concussion Mgmt, Follow-Up Assessment $83.00
Iontophoresis - 15 minutes $142.00

Occupational Therapy Charges

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
OT Evaluation $285.00
OT Re-evaluation $168.00
Hot or Cold Packs $38.00
Paraffin Bath Therapy $86.00
Whirlpool Therapy $144.00
Electric Stim, Attended - 15 minutes $137.00
Iontophoresis - 15 minutes $142.00
Ultrasound - 15 minutes $115.00
Therapeutic Exercise - 15 minutes $99.00
Neuromuscular Re-education - 15 minutes $138.00
Manual Therapy $138.00
Group Therapeutic Procedure - 15 minutes $143.00
Therapeutic Activity - 15 minutes $119.00
Cognitive Skills $119.00
Sensory Integration $127.00
Self-Care/Home Mgmt Training - 15 minutes $101.00
Community/Work Reintegration $116.00
Orthotic Mgmt and Training - 15 minutes $139.00

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
Spirometry $570.00
Pre & Post Spirometry $640.00
Broncho Provocation Test $1,434.00
CO Diffusion $251.00
Pulse Oximetry Measurement, Single $131.00
Oximetry Sleep Study $436.00

X-Ray and Radiological Charges

The following charges reflect the hospital's 30 most common X-ray and radiological procedures. These charges would not include any radiologist's fees that would be billed separately by their office.

Charges Inpatient/Surgery/Emergency Charge Outpatient Charge
CT, Head or Brain, without Contrast $1,350.00  
Chest, 1 View Frontal  $207.00  
Chest, 2 View Frontal & Lateral $411.00  
CT, Angiography, Chest, w/wo $3,276.00 $1,854.60
Lumbar Spine, 2-3 Views $460.00  
CT, Cervical Spine, without Contrast $1,646.00  
Hand, Min 3 Views $508.00  
Foot, Min 3 Views $491.00  
Abdomen, AP View $315.00  
CT, Abdomen & Pelvis, without Contrast $3,527.00 $3,197.70
CT, Abdomen & Pelvis, with Contrast $4,214.00 $3,710.30
US Breast Limited, Unilateral $787.00  
US Abdomen, Limited $1,246.00  
Retroperitoneal Complete $1,089.00  
Computer DX Mammogram Add-On $73.00  
Comp Screen Mammogram Add-On $73.00  
Mammogram, Unilateral, Digital $315.00  
Mammogram, Screening, Digital $290.00  
Breast Tomosynth 3D, Bilateral $64.00  
Myocard Perf Spect MX Studies $5,445.00  
Ankle, Min 3 Views $330.00  
Dexa, Axial Skeleton Study $787.00  
Shoulder, Min 2 Views $542.00  
CT Chest, with Contrast $2,118.00  
Knee, 4 or More Views $666.00  
X-Ray Exam, Hip, Uni, 2-3 Views $427.00  
Wrist Complete, Min 3 Views $496.00  
ABD Acute Inc Flat/Erect w/CX $594.00  
Soft Tissue, Head/Neck $871.00  
Mammogram, Diagnostic Digital $424.00  

Outpatient Laboratory Charges

The following charges reflect the hospital's most common outpatient laboratory procedures. Inpatient charges may vary from those shown here. These charges would not include any pathologist's fees that would be billed directly by their office.

Charges Inpatient/Surgery/Emergency Charge Outpatient Charge
Complete Blood Count $92.00 $25.00
Collection Venous Blood, Venipuncture $18.00 $7.50
Prothrombin Time $43.00 $18.75
Urine Reflex Culture $62.00 $12.50
TSH $204.00 $58.68
Magnesium $79.00  
Troponin $115.00  
Urine Culture $60.00 $31.25
HGB A1C $151.00 $33.90
APTT $56.00 $15.71
CBC without Diff $60.00 $20.00
Antibiotic Susceptibilty $96.00 $27.50
Diff Scan (Bill Only) $14.00 $12.50
Blood Gases $191.00  
Urine Bacterial ID (each organism) $92.00  
Blood Culture $148.00  
Capillary Puncture $22.25 $3.75
Routine Culture $154.00 $18.75
T4 Free $182.00 $23.63
Iron $83.00 $17.00
Manual Diff (Bill Only) $40.00 $18.75
Hematocrit HCT $30.00 $6.25
Hemoglobin HGB $30.00 $6.25
Lipase $123.00  
Gross & Mirco Level IV $337.00  
Thinprep Pap, Screening $94.00  
ABO Type $40.00 $12.50
RH Type $29.00 $12.50
Culture, Screening Only $86.00  
B Natriuretic Peptide $289.00  

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