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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 |
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 |
| NURSERY SPECIAL CARE | 935.50 |
| 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 | 69.14 |
| Basic Metabolic Profile | 70.00 |
| BNPeptide | 202.00 |
| CBC | 232.50 |
| Chlamydia by PCR | 73.87 |
| Comprehensive Profile | 108.50 |
| CULTURE BLOOD (Base Charge) | 358.50 |
| CULTURE GENITAL (Base Charge) | 130.20 |
| CULTURE STOOL (Base Charge) | 99.00 |
| CULTURE URINE (Base Charge) | 61.00 |
| CULTURE WOUND (Base Charge) | 80.50 |
| Hematocrit | 101.00 |
| Hemoglobin | 20.50 |
| Hemoglobin A1C | 20.50 |
| Lipase | 68.50 |
| Lipid Profile | 92.00 |
| Liver Panel | 130.00 |
| Magnesium | 177.00 |
| Ibuprofen Level | 125.00 |
| O & P Crypto/Giardia | 75.00 |
| PSA Screen | 103.90 |
| PT | 105.00 |
| PTT | 40.50 |
| Sed Rate | 53.50 |
| SGPT/ALT | 43.00 |
| Troponin I | 25.00 |
| Free T4 | 86.00 |
| TSH | 117.50 |
| Urinalysis (macro only) | 104.50 |
| Venipuncture | 27.00 |
X-Ray and Radiological Charges |
|
| ABD W CONTRAST | 1351.50 |
| ABD WO 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 & LATERAL X | 181.00 |
| CHEST PA X-RAY | 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 |
| FLUIDOTHER COMPR-OT | 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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