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 07/01/2016. For additional price quote assistance please call 1-740-356-8753 or 1-740-356-8182.

 

 

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 $2599
Progressive Care Unit $2454
Maternity $2480
Inpatient Rehab Unit $1700
Pediatric Care Unit $1182
Newborn $2480
Heart Care Unit $2454
General Medical Surgical $1264
Senior Behavioral Medicine Care Unit $1700

 

For additional price quote assistance please call 740-356-8753 or 740-356-8182.

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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 $10,156 average
Caesarean Section Delivery $22,893 average
Normal Newborn Care $ 4360 average

 

These prices are effective as of 07/01/2016.

For additional price quote assistance please call 1-740-356-8753 or 1-740-356-8182.

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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 $269
Low Level 2 $465
Medium Level 3 $703
High Level 4 $352
High Level 5 $831
Critical Care $905

 

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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 $119
Low Level 2 Established $145
Medium Level 3 Established $175
High Level 4 Established $205
High Level 5 Established $235
   
Low Level 1 New $130
Low Level 2 New $160
Low Level 3 New $190
Low Level 4 New $220
Low Level 5 New $250

 

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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 $ 865
Level 2 $1995
Level 3 $2870
Level 4 $3070
Level 5 $5115

 

These prices are effective as of 07/01/2016.

For additional price quote assistance please call 1-740-356-8753 or 1-740-356-8182.

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Laboratory Charges

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

Description

Charges

Blood Draw (Venipuncture)    $  21
CBC with Diff    $  61
Basic Metabolic Panel (BMP)    $ 79
Prothrombin-INR    $  32
Comprehensive Metabolic Panel (CMP)    $107
TSH     $107
Lipid Panel (LP)    $  60
Urinalysis with Micro Exam    $  43
Urine Culture Quant. Count    $ 81
Urinalysis without Micro Exam    $  28
B-type Natriuretic Peptide (BNP)    $189
ALT - SGPT   $  54
AST - SGOT    $ 50
Total CPK $  65
PTT-Activate Plasma Or Whole Bld $  85
Magnesium - Blood   $  56
Hepatic Function Panel (HFP) $113
Blood Culture with ID of Isolates $134
Free T4 $  64
Hemoglobin A1C - Glycated $  65
Phosphorus $  46
CKMB $120
Creatinine - Blood    $  46
Troponin - Quantitative   $101
Amylase – Blood $  74
Lipase $  58
Bun-Urea Nitrogen; Quant. (BUN) $  46
Arterial Blood Gases (ABG) $164
Sedimentation Rate $  59
Iron- Blood $ 60

 

These prices are effective as of 07/01/2016.

For additional price quote assistance please call 1-740-356-8753 or 1-740-356-8182.

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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  
$  392
Carbon Dioxide Diffusion $  181
Pulmonary Function Body Box $1219
Pulmonary Function $  724
Nitrogen Washout   $  151
Smoke/Tobacco Cessation $    37
Bronchial Provocation Test $  377

 

These prices are effective as of 07/01/2016.

For additional price quote assistance please call 1-740-356-8753 or 1-740-356-8182.

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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   $238 » One time charge
Exercise - Therapeutic   $ 109 » Per 15 Minutes
Therapeutic Activities  $  97 » Per 15 Minutes
Manual Therapy   $ 108 » Per 15 Minutes
Ultrasound   $ 102 » Per 15 Minutes
Electro Stimulation Unattended   $  99

 

For additional price quote assistance please call 1-740-356-8753 or 1-740-356-8182.

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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
$249 » One time charge
Exercise - Therapeutic $109 » Per 15 Minutes
Neuromuscular Re-ed $108 » Per 15 Minutes
Electro Stimulation Unattended $ 99
Aquatic Therapy $112 » Per 15 Minutes
Therapeutic Activities $ 97 » Per 15 Minutes
Ultrasound Therapy $102 » Per 15 Minutes
Manual Therapy $108 » Per 15 Minutes
Gait Train (Inc Stairs) $ 88 » Per 15 Minutes

 

These prices are effective as of 07/01/2016.

For additional price quote assistance please call 1-740-356-8753 or 1-740-356-8182.

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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 $  184
Chest Pa And Lateral: Routine $  236
Cervical Spine: Routine 5V $  392
Hand Right 3V $  288
Knee Right Complete-4 or more views $  366
Flat & Upright Abdominal Complete AP & Erect $  236
Right Upper Quadrant Gallbladder, Liver, Pancreas $  721
CT Head without Contrast $1648
CT Abdomen without Contrast $1648
CT Pelvis with Contrast $1798
CT Pelvis without Contrast $1648
Acute Abdomen Exam $  394
CTA Chest Non Coronary $2430
CT Abdomen & Pelvis without Contrast $3296
CT Abdomen with Contrast $1798
Lumbosacral Spine - 4 or more views $  340
CT KUB Flat AbdomenAbdomen & Pelvis with Contrast $3596
KUB Flat Abdomen $  184
CT Thorax without Contrast $1648
CT Cervical Spine without Contrast $1648
Knee Left Complete-4 or more views $  366
Foot Right-3 or more views $  288
CT Thorax with Contrast $1798
Foot Left-3 or more views $  288
Hand Left 3 views $  288
Lumbar Spine 2-3 views $  262
Ankle Right-3 or more views $  314
MRI Brain without Contrast $2455
MRI Lumbar Spine without Contrast $2455
MRI Brain with & without Contrast $2925

 

These prices are effective as of 07/01/2016.

For additional price quote assistance please call 1-740-356-8753 or 1-740-356-8182.

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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