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Patient Price Information List

Patient Price Information List

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, 2014.

 

 

Room and Board -- Per Day Charges

 
DAILY ROOM CHARGE 476.50
INTENSIVE CARE 1177.00
NURSERY 712.00
MATERNITY DAILY ROOM 633.50
NURSERY SPECIAL CARE 954.00

 

Nursing Care -- Per Day Charges

 
CARE LEVEL ICU II 345.00
CARE LEVEL ICU III 457.50
CARE LEVEL ICU IV 971.50
CARE LEVEL M/S II 258.00
CARE LEVEL M/S III 326.00
CARE LEVEL OB II 399.00
CARE LEVEL OB III 477.50
CARE LEVEL OB IV 1011.50
CARE LEVEL TELE II 277.50
CARE LEVEL TELE III 364.50
OBSERV ICU INI/HR 291.00
OBSERV ICU SUBS/HR 123.50
OBSERV M/S INI/HR 158.50
OBSERV M/S SUBS/HR 45.50
OBSERV TELE INI/HR 167.00
OBSERV TELE SUBS/HR 51.00

 

Operating Room Charges

 
SURGERY LEVEL I 1453.50
SURGERY LEVEL II 1849.00
SURGERY LEVEL III 2372.00
SURGERY LEVEL IV 3071.50
SURGERY LEVEL V 3582.00
SURGERY LEVEL VI 4282.50
SURGERY LEVEL VII 4718.00

 

Emergency Department Charges

 
EMERG ROOM LEVEL I 122.50
EMERG ROOM LEVEL II 158.00
EMERG ROOM LEVEL III 233.00
EMERG ROOM LEVEL IV 628.50
EMERG ROOM LEVEL V 826.50
EMERG ROOM LEVEL VI 1257.50

 

Laboratory Charges

 
BLOOD Type ABO 20.00
RH Factor 31.50
Amylase, serum 69.50
Basic Metabolic Profile 202.00
BNPeptide 230.00
CBC 74.00
Chlamydia by PCR 107.50
Comprehensive Profile 350.00
CULTURE BLOOD (Base Charge) 130.00
CULTURE GENITAL (Base Charge) 98.00
CULTURE STOOL, (Base Charge) 60.50
CULTURE URINE (Base Charge) 79.50
CULTURE WOUND (Base Charge) 100.00
Hematocrit 20.50
Hemoglobin 20.50
Hemoglobin A1C 68.00
Lipase 91.00
Lipid Profile 130.00
Liver Panel 175.00
Magnesium 91.50
Ibuprofen Level 124.00
Giardia Specific AG 74.50
PSA Screen 104.00
PT 40.00
PTT 53.00
Sed Rate 42.50
SGPT/ALT 25.25
Troponin I 85.00
Free T4 116.20
TSH 104.50
Urinalysis (macro only) 26.50
Venipuncture 14.00

 

X-Ray and Radiological Charges

 
ABD WO CONTRAST 1365.00
ABD W CONTRAST 1486.50
ABDOMEN 1 VIEW/KUB 162.00
ABDOMEN OBSTR SERIES 323.50
ANKLE MIN 3 VIEWS 247.50
BONE DENSITY 389.50
CARDIAC DOPPLER CFM 225.00
CARDIAC DOPPLER PW-C 304.50
CHEST PA X-RAY 183.00
CHEST PA & LATERAL X 238.00
ECHO M-MODE & 2D 708.00
EKG 142.00
FOOT MIN 3 VIEW 254.00
HAND MIN 3 VIEWS 247.50
HEAD WO CONTRAST 1112.50
HIP AP&LATERAL X-RAY 230.50
MAMMO CAD SCREEN 35.50
MAMMO DIG BI SCREEN 186.50
MAMMO DIG UNI SCREEN 150.50
MRI LOW EX JOINT W/O 2022.00
PELVIS ULTRASOUND 533.00
PELVIS W CONTRAST 1486.50
PELVIS WO CONTRAST 1351.50
SHOULDER,COMP,MIN.2V 268.00
SPINE CERVI 2/3 VIEW 264.00
SPINE LUMBAR 2/3VIEW 306.00
STRESS TREADMILL 716.50
THORAX W CONTRAST 1216.00
WRIST MIN 3 VIEW 268.00

 

Pulmonary Therapy Charges

 
ARTERIAL PUNCTURE 27.00
BREATH ALCOHOL 102.50
C O DIFFUSION 129.50
INITIAL INHALER TX 18.50
INITIAL NEB TX 49.50
NEB DISP SET-UP 23.31
OXIMETRY SINGLE 52.00
OXYGEN PER HOUR 16.99
PLETHYSMOGRAPHY 143.00
PRE/POST PFT 429.50
REG O2 SET-UP DISP 20.50
SPIROMETER, DISP. 16.99
SPIROMETRY / MVV 175.50
SUBSEQUENT FLUTTR TX 52.00
SUBSEQUENT INHALE TX 15.50
SUBSEQUENT NEB TX 38.50
SUBSEQUENT PERC TX 16.00
VENTILATOR PER HR 62.50

 

Physical Therapy Charges

 
CPM ADJUST-PT 15MIN 59.50
E STIM UNATT-PT 59.50
E-STIM-PT & MOD 72.50
EVAL P.T. MINOR 104.00
EVAL-OT MAJOR 228.50
EVAL-OT MINOR 117.00
EVAL-PT MAJOR 203.00
EX-15MIN-OT 74.00
EX-15MIN-PT  74.00
EX-15MIN-PT PED 74.00
FLUIDOTHER COMPR-OT
72.00
GAIT TRAIN 15M-PT
67.50
IONTOPHORESIS 15M-PT
108.00
MAN.THERTECH 15MN-PT
68.00
MASSAGE 15MIN- PT
40.50
OT ONSITE-15MIN
108.00
PT ONSITE-15MIN
108.00
SELF CARE/HOME 15MOT
51.50
THERAP ACTIVITIES PT
69.00
TRACTION CERVICAL-PT
55.00
ULTRASOUND-PT 15MIN
57.00
US E STIM-PT 15MIN
56.50
WP EXT STRLWOUND-PT
94.00

 

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