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Patient Billing Information

Patient Billing Information

Our Most Common Charges

At Mercer Health, we believe you have a right to know how much you or your insurance company may be charged for many of our essential services. This list contains our charges for room and board, emergency department, operating room, newborn delivery, physical therapy and other procedures.

  
We charge 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 charges are correct as of April 1, 2013.

 

 

Room and Board -- Per Day Charges

 
DAILY ROOM CHARGE 469.50
INTENSIVE CARE 1159.00
NURSERY 621.00
MATERNITY DAILY ROOM 698.00
NURSERY SPECIAL CARE 935.50

 

Nursing Care -- Per Day Charges

 
CARE LEVEL ICU II 340.00
CARE LEVEL ICU III 450.50
CARE LEVEL ICU IV 957.00
CARE LEVEL M/S II 254.00
CARE LEVEL M/S III 321.00
CARE LEVEL OB II 391.00
CARE LEVEL OB III 468.00
CARE LEVEL OB IV 991.50
CARE LEVEL TELE II 273.50
CARE LEVEL TELE III 359.00
OBSERV ICU INI/HR 286.50
OBSERV ICU SUBS/HR 121.50
OBSERV M/S INI/HR 156.00
OBSERV M/S SUBS/HR 45.00
OBSERV TELE INI/HR 164.50
OBSERV TELE SUBS/HR 50.00

 

Operating Room Charges

 
SURGERY LEVEL I 1413.00
SURGERY LEVEL II 1799.00
SURGERY LEVEL III 2308.50
SURGERY LEVEL IV 2991.00
SURGERY LEVEL V 3489.00
SURGERY LEVEL VI 4172.50
SURGERY LEVEL VII 4597.50

 

Emergency Department Charges

 
EMERG ROOM LEVEL I 120.00
EMERG ROOM LEVEL II 154.50
EMERG ROOM LEVEL III 228.50
EMERG ROOM LEVEL IV 616.50
EMERG ROOM LEVEL V 810.50
EMERG ROOM LEVEL VI 1232.50

 

Laboratory Charges

 
BLOOD Type ABO 20.00
RH Factor 32.00
Amylase, serum 70.00
Basic Metabolic Profile 202.00
BNPeptide 232.50
CBC 74.50
Chlamydia by PCR 108.50
Comprehensive Profile 353.50
CULTURE BLOOD (Base Charge) 130.50
CULTURE GENITAL (Base Charge) 99.00
CULTURE STOOL, (Base Charge) 61.00
CULTURE URINE (Base Charge) 80.50
CULTURE WOUND (Base Charge) 101.00
Hematocrit 20.50
Hemoglobin 20.50
Hemoglobin A1C 68.50
Lipase 92.00
Lipid Profile 130.00
Liver Panel 176.75
Magnesium 92.00
Ibuprofen Level 125.00
Giardia Specific AG 75.00
PSA Screen 105.00
PT 40.50
PTT 53.50
Sed Rate 43.00
SGPT/ALT 25.25
Troponin I 86.00
Free T4 117.50
TSH 104.50
Urinalysis (macro only) 27.00
Venipuncture 14.00

 

X-Ray and Radiological Charges

 
ABD WO CONTRAST 1351.50
ABD W CONTRAST 1471.80
ABDOMEN 1 VIEW/KUB 160.50
ABDOMEN OBSTR SERIES 320.50
ANKLE MIN 3 VIEWS 245.00
BONE DENSITY 385.50
CARDIAC DOPPLER CFM 221.50
CARDIAC DOPPLER PW-C 300.00
CHEST PA X-RAY 181.00
CHEST PA & LATERAL X 235.50
ECHO M-MODE & 2D 697.50
EKG 140.50
FOOT MIN 3 VIEW 251.50
HAND MIN 3 VIEWS 245.00
HEAD WO CONTRAST 1101.50
HIP AP&LATERAL X-RAY 228.00
MAMMO CAD SCREEN 35.00
MAMMO DIG BI SCREEN 184.50
MAMMO DIG UNI SCREEN 149.00
MRI LOW EX JOINT W/O 2084.50
PELVIS ULTRASOUND 525.00
PELVIS W CONTRAST 1471.80
PELVIS WO CONTRAST 1338.00
SHOULDER,COMP,MIN.2V 265.50
SPINE CERVI 2/3 VIEW 261.50
SPINE LUMBAR 2/3VIEW 303.00
STRESS TREADMILL 709.50
THORAX W CONTRAST 1203.95
WRIST MIN 3 VIEW 265.50

 

Pulmonary Therapy Charges

 
ARTERIAL PUNCTURE 26.46
BREATH ALCOHOL 100.89
C O DIFFUSION 127.59
INITIAL INHALER TX 18.45
INITIAL NEB TX 48.78
NEB DISP SET-UP 23.31
OXIMETRY SINGLE 51.30
OXYGEN PER HOUR 16.99
PLETHYSMOGRAPHY 141.02
PRE/POST PFT 423.17
REG O2 SET-UP DISP 20.50
SPIROMETER, DISP. 16.99
SPIROMETRY / MVV 173.00
SUBSEQUENT FLUTTR TX 51.30
SUBSEQUENT INHALE TX 15.17
SUBSEQUENT NEB TX 37.98
SUBSEQUENT PERC TX 16.00
VENTILATOR PER HR 61.61

 

Physical Therapy Charges

 
CPM ADJUST-PT 15MIN 58.00
E STIM UNATT-PT 58.00
E-STIM-PT & MOD 70.50
EVAL P.T. MINOR 101.00
EVAL-OT MAJOR 222.00
EVAL-OT MINOR 113.50
EVAL-PT MAJOR 197.00
EX-15MIN-OT 72.00
EX-15MIN-PT  72.00
EX-15MIN-PT PED 72.00
FLUIDOTHER COMPR-OT
70.00
GAIT TRAIN 15M-PT
65.50
IONTOPHORESIS 15M-PT
105.00
MAN.THERTECH 15MN-PT
66.00
MASSAGE 15MIN- PT
39.50
OT ONSITE-15MIN
105.00
PT ONSITE-15MIN
105.00
SELF CARE/HOME 15MOT
50.00
THERAP ACTIVITIES PT
67.00
TRACTION CERVICAL-PT
53.50
ULTRASOUND-PT 15MIN
55.50
US E STIM-PT 15MIN
55.00
WP EXT STRLWOUND-PT
91.50

 

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