Pricing Information

In compliance with state law, Southern Ohio Medical Center 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 patient accounting staff to determine whether they qualify for discounts by calling (740) 356-7635, (740) 356-7637 or (740) 356-7638. These prices are effective as of 07/01/2014. For additional price quote assistance please call 1-740-356-8114.

 

 

Room and Board

Per Day Charges. Patients may be financially responsible for a portion of room charges not covered by their insurance.

Description

Charges

Intensive Care Unit $2324
Progressive Care Unit $2194
Maternity $2184
Inpatient Rehab Unit $1524
Pediatric Care Unit $1125
Newborn $2184
Heart Care Unit $2194
General Medical Surgical $1125
Senior Behavioral Medicine Care Unit $1524

 

For additional price quote assistance please call 1-740-356-8114.

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Labor and Delivery Charges

Fees for physician services or anesthesia administration are not reflected, and will be billed separately by your physician. The charges listed are an average of all patients who have had the procedure during the most current fiscal year. Deliveries with complications will cause charges to be higher.

Description

Charges

Normal Delivery $  7856 average
Caesarean Section Delivery $19642 average
Normal Newborn Care $  3861 average

 

These prices are effective as of 07/01/2014.

For additional price quote assistance please call 1-740-356-8114.

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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.
These charges reflect the level of care only and there will be separate charges for the procedure performed, anesthesia, drugs, or supplies required. They also do not include fees for Emergency Department physicians, who will bill separately for their services.

Description

Charges

Low Level 1 $239
Low Level 2 $313
Medium Level 3 $414
High Level 4 $626
High Level 5 $740
Critical Care $806

 

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Urgent Care Center Charges

Urgent care charges are based on the level of care provided to our patients. The levels, with level 1 representing basic urgent care evaluation and management, reflect the type of accommodations needed, the personnel resources, the intensity of care and the amount of time needed to provide treatment. Established is any patient that has presented to Southern Ohio Medical Center in the last 3 years.

These charges reflect the level of care only and there will be separate charges for the procedure performed, anesthesia, drugs, or supplies required. They also do not include fees for Urgent Care physicians, who will bill separately for their services.

Description

Charges

Low Level 1 Established $122
Low Level 2 Established $142
Medium Level 3 Established $167
High Level 4 Established $214
High Level 5 Established $253
   
Low Level 1 New $138
Low Level 2 New $155
Low Level 3 New $186
Low Level 4 New $218
Low Level 5 New $271

 

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Operating Room Charges

Operating Room charges are based on the complexity level for a particular operation, with level 1 being the most basic. The charge  is for each 15 minutes while the operation is being performed.

These charges reflect the room only and there will be separate charges for the procedure performed, anesthesia, drugs, or supplies required. There will also be a separate bill from the Surgeon and Anesthesiologist.

Description

Charges

Level 1 $  775
Level 2 $1811
Level 3 $2576
Level 4 $2756
Level 5 $4584

 

These prices are effective as of 07/01/2014.

For additional price quote assistance please call 1-740-356-8114.

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Laboratory Charges

The following charges reflect the hospital’s 30 most common laboratory procedures.

Description

Charges

Blood Draw (Venipuncture)    $  19
CBC with Diff    $  58
Basic Metabolic Panel (BMP)    $  79
Prothrombin-INR    $  30
Comprehensive Metabolic Panel (CMP)    $106
TSH     $102
Lipid Panel (LP)    $  85
Urinalysis with Micro Exam    $  41
Urine Culture Quant. Count    $  77
Urinalysis without Micro Exam    $  26
B-type Natriuretic Peptide (BNP)    $180
ALT - SGPT   $  50
AST - SGOT    $  45
Total CPK $  62
PTT-Activate Plasma Or Whole Bld $  81
Magnesium - Blood   $  53
Hepatic Function Panel (HFP) $107
Blood Culture with ID of Isolates $128
Free T4 $  61
Hemoglobin A1C - Glycated $  62
Phosphorus $  44
CKMB $114
Creatinine - Blood    $  44
Troponin - Quantitative   $  96
Amylase – Blood $  70
Lipase $  55
Bun-Urea Nitrogen; Quant. (BUN) $  44
Arterial Blood Gases (ABG) $156
Sedimentation Rate $  56
Iron- Blood $  57

 

These prices are effective as of 07/01/2014.

For additional price quote assistance please call 1-740-356-8114.

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Pulmonary Therapy Charges

The following charges reflect the most common services offered by our Pulmonary Therapy department. Patients may incur additional charges, depending on the services performed.

Description

Charges

Spirometry Pre/Post  
$  355
Carbon Dioxide Diffusion $  161
Pulmonary Function Body Box $1074
Pulmonary Function $  662
Nitrogen Washout   $  163
Smoke/Tobacco Cessation $    26
Bronchial Provocation Test $  342

 

These prices are effective as of 07/01/2014.

For additional price quote assistance please call 1-740-356-8114.

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Occupational Therapy Charges

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

Description

Charges

Occupational Therapy Evaluation   $222 » One time charge
Exercise - Therapeutic   $  99 » Per 15 Minutes
Therapeutic Activities  $  88 » Per 15 Minutes
Manual Therapy   $  96 » Per 15 Minutes
Ultrasound   $  94 » Per 15 Minutes
Electro Stimulation Unattended   $  93

 

For additional price quote assistance please call 1-740-356-8114.

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Physical Therapy Charges

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

Description

Charges

Physical Therapy Evaluation
$232 » One time charge
Exercise - Therapeutic $ 99 » Per 15 Minutes
Neuromuscular Re-ed $ 96 » Per 15 Minutes
Electro Stimulation Unattended $ 93
Aquatic Therapy $100 » Per 15 Minutes
Therapeutic Activities $ 88 » Per 15 Minutes
Ultrasound Therapy $ 94 » Per 15 Minutes
Manual Therapy $ 96 » Per 15 Minutes
Gait Train (Inc Stairs) $ 79 » Per 15 Minutes

 

These prices are effective as of 07/01/2014.

For additional price quote assistance please call 1-740-356-8114.

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X-Ray and Radiological Charges

The following charges reflect the hospital’s 30 most common x-ray and radiological procedures. If your procedure requires contrast there will be an additional charge. There will be a separate bill from the Radiologist for the interpretation of the study.

Description

Charges

Chest Portable - Frontal 1V $  173
Chest Pa And Lateral: Routine $  225
Cervical Spine: Routine 5V $  381
Hand Right 3V $  277
Knee Right Complete-4 or more views $  355
Flat & Upright Abdominal Complete AP & Erect $  225
Right Upper Quadrant Gallbladder, Liver, Pancreas $  654
CT Head without Contrast $1580
CT Abdomen without Contrast $1580
CT Pelvis with Contrast $1730
CT Pelvis without Contrast $1580
Acute Abdomen Exam $  357
CTA Chest Non Coronary $2310
CT Abdomen & Pelvis without Contrast $3160
CT Abdomen with Contrast $1730
Lumbosacral Spine - 4 or more views $  329
CT KUB Flat AbdomenAbdomen & Pelvis with Contrast $3460
KUB Flat Abdomen $  173
CT Thorax without Contrast $1580
CT Cervical Spine without Contrast $1580
Knee Left Complete-4 or more views $  355
Foot Right-3 or more views $  277
CT Thorax with Contrast $1730
Foot Left-3 or more views $  277
Hand Left 3 views $  277
Lumbar Spine 2-3 views $  251
Ankle Right-3 or more views $  303
MRI Brain without Contrast $2299
MRI Lumbar Spine without Contrast $2299
MRI Brain with & without Contrast $2769

 

These prices are effective as of 07/01/2014.

For additional price quote assistance please call 1-740-356-8114.

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SOMC Billing Policies

Patients with Medicare or Medicaid coverage

Payment is due within 30 days of the date of payment by Medicare or Medicaid. Balances due may include deductibles, coinsurance, and non covered charges. Once payment is received from Medicare or Medicaid, the account will be transferred to the patient as a self-pay account and will be subject to the self-pay collection policies as established by the Hospital.


Patients with Commercial

Patients with Commercial Insurance
(e.g. Anthem Blue Cross/Blue Shield, United Healthcare, Medical Mutual of Ohio)
Payment is due within 30 days of the date of payment by the insurer. Balances due may include deductibles, coinsurance, and non covered charges. If payment is not received from Commercial insurance within 45 days from the date the claim is billed, the account will be transferred to the patient as a self-pay account and will be subject to the self-pay collection policies as established by the Hospital.


Self-Pay Patients

(Patients with no insurance coverage or patients with balances due after insurance has made a payment.)
Payment is due within 30 days of the date of service. Payment terms are available in lieu of payment in full. Financial assistance through the Health Care Assurance Program and Charity Care may be available for qualified applicants. Patients with no insurance could be eligible for a self-pay discount.  A prompt pay discount could also be available.

The Patient Accounts Department should be contacted for details on the payment terms and program guidelines by calling (740) 356-7635, (740) 356-7637 or (740) 356-7638.
A patient inquiry will receive a response within 24 to 48 hours. All patients who do not respond to letters, statements, phone calls, etc. within 90 days will be reviewed for appropriate action including referral to an outside collection agency.


Visit www.ohanet.org for additional resources regarding Ohio Hospitals.

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For more information, call

  (740) 356-5000

or