The following charges reflect the hospital’s 25 most common imaging procedures.
|CAT Scan Abdomen Pelvis with Contrast||$957*|
|CAT Scan Abdomen Pelvis without Contrast||$827|
|CAT Scan Cervical Spine without Contrast||$496|
|CAT Scan Chest without Contrast||$496|
|CAT Scan Head without Contrast||$458|
|CAT Scan Maxillofacial without Contrast||$397|
|CAT Scan Angiography Chest with and without Contrast||$742*|
|Mammography Digital Bilateral Screening w/CAD||$336|
|Magnetic Resonance Imaging Lumbar Spine without Contrast||$1,044|
Nuclear Medicine Myocardial Perfusion Spect.-Stress & Rest (may be required with stress test - see Cardiology)
|Ultrasound Carotid Doppler Bilateral||$536|
|Ultrasound Right Upper Quadrant||$264|
|Ultrasound Venous Doppler Lower Extremity Bilateral||$536|
|X-Ray Abdomen 1 View||$143|
|X-Ray Chest 2 View||$143|
|X-Ray Chest Single View||$143|
|X-Ray C-Spine 4 or More Views||$264|
|X-Ray Dexa Axial Skeleton||$264|
|X-Ray Hip 2 Views||$143|
|X-Ray L-Spine 4 or More Views||$264|
|X-Ray Portable Chest 1 View||$143|
|X-Ray Shoulder Minimum 2 View||$143|
*Contrast material or isotope will be charged in addition to the imaging procedure above and varies depending on type of contrast or isotope used and amount administered depending on body part being imaged, patient weight, etc.
Observation is the active treatment, assessment and reassessment of an outpatient condition to determine if he or she should be admitted as an inpatient for further treatment or if it resolves itself so that the patient may be discharged.
|Observation – Per Hour||$59|
|Observation – Per Hour with remote monitoring||$63|
The following charges reflect the hospital’s 25 most common laboratory procedures. These prices do not include pathologist fees that are billed separately by the pathologist.
|Bacterial culture, blood||$32|
|Bacterial culture, urine||$32|
|Basic metabolic panel||$26|
|Blood smear, CBC, auto & auto diff WBC count||$28|
|Cardiac Panel (CPF, Mass CKMB & Troponin Adv)||$105|
|Comprehensive metabolic panel||$38|
|Hepatic Function Panel||$25|
|Influenza (A & B)||$82|
|Iron and TIBC||$52|
|Negative Urine Combo Panel Type 61||$48|
|Urinalysis, automated with microscopy||$14|
|Urinalysis, automated without microscopy||$13|
|VIT D 25 HYDROXY||$101|
Emergency Department charges are based on the levels 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.
|ED Visit Level 1||$158|
|ED Visit Level 2||$189|
|ED Visit Level 3||$332|
|ED Visit Level 4||$538|
|ED Visit Level 5||$1,500|
The following list does not include charges for anesthesia, drugs, supplies or implants. Fees for physician’s services or anesthesia administration are also not reflected and will be billed separately by your physician.
|Permanent Pacemaker Insertion (excluding charge for pacemaker)||$7,834|
|Transthoracic Echocardiogram (TTE)||$1,122|
|Trans Esophageal Echocardiogram (TEE)||$1,122|
*If interventional procedure such as stenting or balloon angioplasty is indicated, charges will vary depending on vessel(s) treated.
**Your cardiologist may also require a nuclear scan in conjunction with the stress test. See Diagnostic Imaging charges.
OPERATING ROOM CHARGES
Operating Room charges consist of an initial set-up charge for the operating room as well as an additional charge per minute while the operation is being performed. The following do not include charges for anesthesia, drugs, supplies, implants or recovery time. Fees for physician’s services or anesthesia administration are also not reflected below and will be billed separately by your physician.
Gastrointestinal Procedures (Colonoscopies, EGDs, etc.):
|DHC Room Charge||$1,550|
|Per Minute Charge||$12|
All Other Procedures:
|OR Room Charge||$2,650|
|Per Minute Charge||$21|
If you should need a more detailed estimate including estimated time for a scheduled procedure, please contact the hospital at 724-430-1833 and we will be happy to provide that information.
Important: Some minor procedures do not require an operating room and may be performed in a treatment room instead which may be within or outside of our Same Day Surgery Department. This includes blood transfusions, nerve block injections, PICC line insertions, port flushes, image guided biopsies, etc. Please contact the hospital at 724-430-1833 so that we can determine where the service will be provided in order to provide an accurate charge estimate for you.
WOUND HEALING AND TREATMENT CENTER
|Application of multi-layer compression system - below knee (one leg)||$312|
|Application of multi-layer compression system - below knee (both legs)||$468|
|Debridement, subcutaneous tissue (first 20 sq. cm)||$390|
|Hyperbaric Oxygen Therapy (HBOT), per 30 minute interval||$316|
|Strapping; Unna Boot (one leg)||$312|
|Strapping; Unna Boot (both legs)||$468|
Both new and established patients may also be charged for an outpatient evaluation & management visit representing services over and above a given procedure and the amount charged depends on the level of care provided similar to the levels in the ED Dept.