2014 The Jewish Hospital Pricing

Patient Price Information List
Insert hospital logo
In compliance with state law, Jewish Hospital Hospital 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
Charges
$ 6,676.00
$ 6,652.00
$ 1,324.00
Cardiac Intensive Care
Intensive Care
Routine Care
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 physician services or anesthesia administration are also not reflected, and will be
billed separately by your physician.
Obstetrics Services Not Available
Emergency Department Charges
Emergency Department 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 Department physicians, who will
bill separately for their services.
Level 1
Level 2
Level 3
Level 4
Level 5
Critical care
Charges
$
291.00
$
504.00
$
972.50
$ 1,403.50
$ 2,222.00
$ 1,945.50
Operating Room Charges
Operating Room charges are classified as major or minor, depending on patient acuity and resource
utilization. Surgical time is charged for each 15 minutes while the operation is being performed.
Major Surgery Ea 15 Min
Minor Surgery Ea 15 Min
Cardiovascular Surgery Ea 15 Min
Charges
$ 1,547.50
$ 1,333.50
$ 2,420.50
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.
Evaluation
Re-evaluation 15 Min.
Exercise Ea 15 Min.
Gait Training (I) Ea 15 Min.
Therapeutic Activity Ea 15 Min.
Electrical Stimulation
Ultrasound Therapy Ea 15 Min.
Manual Thearpy Ea 15 Min.
Aquatic Exercise Ea 15 Min - Individual
Aquatic Exercise Ea 15 Min - Group
Charges
$
273.00
$
161.00
$
104.00
$
96.00
$
91.00
$
98.00
$
105.00
$
108.00
$
105.00
$
114.00
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.
Evaluation
Exercise Ea 15 Min.
Activities of Daily Living (ADL) Ea 15 Min.
Therapeutic Activity Ea 15 Min.
Neuromuscular Re-education Ea 15 Min.
Fluidotherapy
Ultrasound Therapy Ea 15 Min.
Manual Therapy Ea 15 Min.
Electrical Stimulation
Charges
$
295.00
$
104.00
$
116.50
$
91.00
$
84.00
$
92.00
$
105.00
$
108.00
$
98.00
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.
Phase II - Individual Therapy Ea 15 Min.
Phase II - Indiv Educ/Exercise Ea 15 Min.
Phase II - Group Session
Daily Initial HHN (Inhalation Treatment)
Charges
$
140.50
$
62.00
$
138.00
$
63.00
X-Ray and Radiological Charges
The following charges reflect the hospital's 30 most common x-ray and radiological procedures.
CT and MRI Charges
CT Abdomen with and without Contrast
CT Abdomen with Contrast
CT Abdomen without Contrast
CT Chest with Contrast
CT Chest without Contrast
CT Head without Contrast
CT Pelvis with Contrast
CT Pelvis without Contrast
Charges
$ 1,977.50
$ 1,738.00
$ 1,499.00
$ 1,738.00
$ 1,499.00
$ 1,499.00
$ 1,738.00
$ 1,499.00
MRI Brain without Contrast
MRI Brain with and without Contrast
MRI Lumbar Spine without Contrast
$ 2,150.50
$ 3,225.50
$ 2,150.50
Other Imaging Procedures
Nuc Med Bone Scan Whole Body
Myocardial Perfusion SPECT Mult Studies
Ultrasound Abdominal Limited
Ultrasound Carotid Artery Bilateral
Ultrasound Gallbladder
Ultrasound Pelvic Complete - NonOB
Ultrasound Renal Complete
Ultrasound Transvaginal - NonOB
Ultrasound Venous Duplex Study Unilat
Dexa Central Density Study
Xray Abdomen Flt/Erect/Decub/Sgl
Xray Ankle 3+ Views
Xray Cervical Spine 2 or 3 Views
Xray Chest 1 View
Xray Chest 2 View
Xray Foot 3+ Views
Xray Knee 2 Views
Xray Lumboscaral Spine 2 or 3 Views
Xray Mammography Screening- Digital (includes CAD)
Xray Mammography Diagnostic- Digital Uni (includes CAD)
$ 1,715.00
$ 5,727.50
$
617.00
$ 1,514.00
$
617.00
$
604.00
$
723.00
$
662.00
$
814.00
$
671.00
$
449.50
$
244.00
$
285.00
$
245.00
$
253.00
$
219.00
$
202.00
$
300.00
$
270.00
$
379.00
Out Patient Charges
$
1,534.50
$
1,349.00
$
1,163.50
$
1,349.00
$
1,163.50
$
1,163.50
$
1,349.00
$
1,163.50
$
$
$
1,509.00
2,263.50
1,509.00
Laboratory Charges
The following charges reflect the hospital's 30 most common laboratory procedures.
ABO Blood Typing
Blood Amylase
Blood Culture
Blood Gas Arterial
Blood Magnesium
Blood Phosphorus
BNP
CBC with Auto Diff
Chem Basic Panel
CK - Total
CK-MB Fraction Only
Comprehensive Metabolic Panel
Culture-Urine Colony Count
Hematocrit (HCT)
Hemoglobin (HGB)
Hemoglogin A1C
Hepatic Function Panel
Lipase
Lipid Panel
Pathology Level IV
Protime (Prothrombin)
PSA
PTT Activated
Renal Function Panel
Sedimentation Rate
Troponin - Quantitative
TSH (Ultrasensitive)
Urine with Microscope Exam
Venipuncture for Specimen
Charges
$
24.00
$
92.50
$
133.50
$
161.00
$
79.00
$
58.50
$
220.50
$
73.00
$
123.50
$
79.00
$
145.00
$
124.50
$
112.00
$
25.50
$
23.00
$
104.00
$
123.50
$
93.50
$
169.00
$
359.50
$
43.50
$
156.00
$
62.00
$
103.00
$
41.50
$
158.50
$
141.50
$
39.00
$
19.50
Hospital Billing Policies
Mercy Health's billing and collection policies are consistent with our mission and values. When you receive a
bill from Mercy, it covers the services you received at one of our healthcare delivery facilities. You may receive
separate bills from your personal physician, surgeon, pathologist or other healthcare professional.
To make a payment by telephone, please call 513/981-6500 or 1-866-808-0078 and do the following:
Make a payment on your account using a check or credit card.
Request an itemized statement.
Provide insurance information.
Update your address and telephone number.
Obtain information on our financial assistance programs and more.
You can also make a payment online using our convenient and secure online bill pay system.
If you have specific questions about your account, our Customer Service Representatives are available
Monday through Thursday, 8 a.m. to 7 p.m.; Friday, 8 a.m. to 4:30 p.m. We also offer a 24-hour automated
customer service line and Spanish-speaking representatives.
We repeatedly offer patients access to financial help during their hospital stay and after, as well as with each
billing notice. We do not charge interest to patients on their bills. We send bills to collection as a last resort,
only:
When patients have the ability to pay some portion of their healthcare expenses but refuse to do so.
When patients refuse to work with us to determine if they qualify for free or discounted care via federal, state,
local or hospital assistance programs.
When we are unable to locate the patient or the person responsible for the bill.
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 www.ohanet.org/portal.

Download Report