Mercer Health Patient Accounts office is located in Mercer Health West Campus and provides all billing services for medical services rendered at Mercer County Community Hospital, including anesthesiology services, and at Doctor’s Urgent Care. For all other professional services, you will be billed by the physician or appropriate medical office directly. Payments can be made conveniently made with a credit card by completing a payment consent. Note: Any returned checks will require a $25 fee.

Some of our most common charges can be found here.

Billing Office Telephone Numbers:
419-678-5151 Main Office
419-678-5148 Financial Advisor (self pay/HCAP/payment plans)
419-678-5151 Anesthesia Billing /Caresource/Reynolds&Reynolds
419-678-5121 Medicaid/Worker’s Compensation/UHC/UMR/Crown (Last Name A-K)
419-678-5109 Medicaid Biller/Worker's Compensation/UHC/UMR/Crown (Last Name L-Z)
419-678-5102 Medicare Biller (Last Name A-K)
419-678-5108 Medicare Biller (Last Name L-Z)
419-678-5103 All other Commercial Insurances (Last Name A-K)
419-678-5190 All other Commercial Insurances (Last Name L-Z)
567-890-7144 MEDF Physician Services
419-678-5115 Director of Patient Accounts or email ksiefring@Mercer-health.com
Department Fax Number 419-678-5643

Office Hours of Patient Accounts (Billing):
Monday – Friday from 8:00 a.m. to 5:30 p.m. or leave a voicemail after hours with a time for us to contact you. Our Office is located on the 1st Floor next to the Main Lobby of Mercer County Community Hospital 800 W. Main Street, Coldwater, OH 45828 or at West Campus, 810 W. Main St., Coldwater, OH 45828 (2nd parking lot off Briarwood Dr.). Payments can be made in person any time at the registration desk.

Hospital Care Assurance Program (Free Care) and Financial Assistance Program Policies:
We will work with you to help ensure you receive all the financial support for which you may qualify. Under the provisions of section 5112.17 of the Ohio Revised Code, Mercer County Community Hospital shall provide basic, medically necessary, hospital-level services free of charge to any non-Medicaid Ohio resident, who is either covered by Disability Assistance or has a family income at or below the Federal Poverty Guideline on the date of service. This provision is referred to as the Ohio Hospital Care Assurance Program (HCAP). Mercer County Community Hospital has expanded their own Financial Assistance Program to include all billed services excluded by HCAP and a sliding scale discount for incomes above 100% the federal poverty guideline up to 200%. It shall also include all billed services on a single encounter that exceed one year’s family gross income for those that don’t qualify under the poverty guidelines. To apply for such assistance, consumers must complete, sign and return the application located on the back of their statement letters to the Patient Accounts Department, Mercer County Community Hospital, 800 West Main Street, Coldwater, OH 45828 along with proof of income. Applications will be accepted for 3 years from date of first notice to patient on all accounts and only on open balance due from patient accounts beyond three years from date of first notice to patient. Consumer must be able to show proof of income received three months or one year prior to date of service. For assistance in completing, questions regarding the application or to receive a new application, consumers may call our Financial Advisor at 419-678-5148 or Patient Accounts Office at 419-678-5151. Click here to view a printable PDF HCAP/Financial Assistance Program form.

Payment Plans:
Mercer Health does offer interest free payment plans for those situations where payment in full can not be made due to financial situation or unexpected medical expenses. For accounts to be set up on a payment plan, consumers may call our Financial Advisor at 419-678-5148 or the Patient Accounts Office at 419-678-5151 to speak to an account representative. Payment booklets are available to track and remind of payment due dates since the hospital does not send monthly statements.

Credit/Bank Cards:
Mercer Health does accept payment by credit/bank card for VISA, Mastercard and Discover. Payment can be made online, by telephone by calling our Patient Accounts Office at 419-678-5151 or our Financial Advisor at 419-678-5148 or by mailing the completed bottom section of our statement letter to Mercer County Community Hospital 800 W. Main Street, Coldwater, OH 45828. For those customers on a payment plan and upon completion of an authorization form, our office can automatically deduct your monthly payment from your credit/bank card for your convenience.

For an Itemized Listing/Statement of Charges:
For an itemized listing/statement of your detailed charges, consumers can call our Patient Accounts Office at 419-678-5151 or send a written request to Mercer County Community Hospital- Patient Accounts Department, 800 W. Main Street, Coldwater, OH 45828 or fax to 419-678-5643.

Other Billing Agencies:
In addition to the technical billing for all services rendered at Mercer County Community Hospital, our Billing Office also performs the professional billing services for the Emergency Room Physicians, Doctor’s Urgent Care Physicians, Wound Healing Center Nurse Practitioners and the Anesthesiologists. For all other professional services, you will be billed by the physician offices directly. Below are a few of the other common professional services for which you may receive bills.

The Radiologist bill is separately billed by Columbus Radiology and their billing office telephone number is 888-592-6550.

The Pathologist bill is separately billed by Diagnostic Pathology, LLC - Dr. Fishbein and their billing office telephone number is 800-873-7909. The mailing address is 5620 Southwyck Blvd., Toledo, OH 43614.

The Cardiologist bill is separately billed by either Dr. Ranga Inc. - Dr. Kakarla and their billing office number is 419-629-3663. The mailing address is P.O. Box 98, New Bremen, OH 45869 or by Cardio Terra - Dr. Boley and their billign office number is 866-588-3588. The mailing address is 4112 Monroe Rd., Celina, OH 45822.

The Sleep Study Interpretations are billed by either Mercer Physicians Billing Service - Dr. Gutta and their billing office number is 567-890-7144. The mailing address is 950 S. Main St., Celina, OH 45822 or by Dayton Lung & Sleep Medicine and their billing office telephone number is 800-350-0322. The mailing address is P.O. Box 634857 Cincinnati, OH 45263.

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, 2016.

 

Room and Board -- Per Day Charges

  • DAILY ROOM CHARGE476.50
  • INTENSIVE CARE1177.00
  • NURSERY719.00
  • MATERNITY DAILY ROOM640.00
  • NURSERY SPECIAL CARE963.50

 

Nursing Care -- Per Day Charges

  • CARE LEVEL ICU II345.00
  • CARE LEVEL ICU III457.50
  • CARE LEVEL ICU IV971.50
  • CARE LEVEL M/S II258.00
  • CARE LEVEL M/S III326.00
  • CARE LEVEL OB II403.00
  • CARE LEVEL OB III482.50
  • CARE LEVEL OB IV1021.50
  • CARE LEVEL TELE II277.50
  • CARE LEVEL TELE III364.50
  • OBSERV ICU INI/HR291.00
  • OBSERV ICU SUBS/HR123.50
  • OBSERV M/S INI/HR158.50
  • OBSERV M/S SUBS/HR45.50
  • OBSERV TELE INI/HR167.00
  • OBSERV TELE SUBS/HR51.00

 

Operating Room Charges

  • SURGERY LEVEL I1479.00
  • SURGERY LEVEL II1881.50
  • SURGERY LEVEL III2413.50
  • SURGERY LEVEL IV3125.50
  • SURGERY LEVEL V3644.50
  • SURGERY LEVEL VI4357.50
  • SURGERY LEVEL VII4800.50

Emergency Department Charges

  • EMERG ROOM LEVEL I123.50
  • EMERG ROOM LEVEL II159.50
  • EMERG ROOM LEVEL III235.50
  • EMERG ROOM LEVEL IV635.00
  • EMERG ROOM LEVEL V835.00
  • EMERG ROOM LEVEL VI1270.00

Laboratory Charges

  • BLOOD Type ABO20.00
  • RH Factor31.50
  • Amylase, serum70.00
  • Basic Metabolic Profile202.00
  • BNPeptide231.00
  • CBC74.50
  • Chlamydia by PCR108.00
  • Comprehensive Profile350.00
  • CULTURE BLOOD (Base Charge)130.50
  • CULTURE GENITAL (Base Charge)98.50
  • CULTURE STOOL, (Base Charge)61.00
  • CULTURE URINE (Base Charge)80.00
  • CULTURE WOUND (Base Charge)100.50
  • Hematocrit20.50
  • Hemoglobin20.50
  • Hemoglobin A1C68.50
  • Lipase91.50
  • Lipid Profile130.00
  • Liver Panel175.00
  • Magnesium92.00
  • Ibuprofen Level124.50
  • Giardia Specific AG75.00
  • PSA Screen104.50
  • PT40.00
  • PTT53.50
  • Sed Rate42.50
  • SGPT/ALT25.25
  • Troponin I85.50
  • Free T4117.00
  • TSH104.50
  • Urinalysis (macro only)26.50
  • Venipuncture14.00

 

 

X-Ray and Radiological Charges

  • ABD WO CONTRAST1501.50
  • ABD W CONTRAST1378.50
  • ABDOMEN 1 VIEW/KUB163.50
  • ABDOMEN OBSTR SERIES326.50
  • ANKLE MIN 3 VIEWS250.00
  • BONE DENSITY393.50
  • CARDIAC DOPPLER CFM229.50
  • CARDIAC DOPPLER PW-C310.50
  • CHEST PA X-RAY185.00
  • CHEST PA & LATERAL X240.50
  • ECHO M-MODE & 2D722.00
  • EKG143.50
  • FOOT MIN 3 VIEW256.50
  • HAND MIN 3 VIEWS250.00
  • HEAD WO CONTRAST1123.50
  • HIP AP&LATERAL X-RAY233.00
  • MAMMO CAD SCREEN36.00
  • MAMMO DIG BI SCREEN188.50
  • MAMMO DIG UNI SCREEN152.00
  • MRI LOW EX JOINT W/O2022.00
  • PELVIS ULTRASOUND533.00
  • PELVIS W CONTRAST1501.50
  • PELVIS WO CONTRAST1365.00
  • SHOULDER,COMP,MIN.2V270.50
  • SPINE CERVI 2/3 VIEW266.50
  • SPINE LUMBAR 2/3VIEW309.00
  • STRESS TREADMILL727.00
  • THORAX W CONTRAST1228.00
  • WRIST MIN 3 VIEW270.50

Pulmonary Therapy Charges

  • ARTERIAL PUNCTURE27.00
  • BREATH ALCOHOL102.50
  • C O DIFFUSION129.50
  • INITIAL INHALER TX18.50
  • INITIAL NEB TX49.50
  • NEB DISP SET-UP23.31
  • OXIMETRY SINGLE52.00
  • OXYGEN PER HOUR16.99
  • PLETHYSMOGRAPHY143.00
  • PRE/POST PFT429.50
  • REG O2 SET-UP DISP20.50
  • SPIROMETER, DISP.16.99
  • SPIROMETRY / MVV175.50
  • SUBSEQUENT FLUTTR TX52.00
  • SUBSEQUENT INHALE TX15.50
  • SUBSEQUENT NEB TX38.50
  • SUBSEQUENT PERC TX16.00
  • VENTILATOR PER HR62.50

Physical Therapy Charges

  • CPM ADJUST-PT 15MIN60.50
  • E STIM UNATT-PT60.50
  • E-STIM-PT & MOD74.00
  • EVAL P.T. MINOR106.00
  • EVAL-OT MAJOR233.00
  • EVAL-OT MINOR119.50
  • EVAL-PT MAJOR207.00
  • EX-15MIN-OT75.50
  • EX-15MIN-PT75.50
  • EX-15MIN-PT PED75.50
  • FLUIDOTHER COMPR-OT73.50
  • GAIT TRAIN 15M-PT69.00
  • IONTOPHORESIS 15M-PT110.00
  • MAN.THERTECH 15MN-PT69.50
  • MASSAGE 15MIN- PT41.50
  • OT ONSITE-15MIN110.00
  • PT ONSITE-15MIN110.00
  • SELF CARE/HOME 15MOT52.50
  • THERAP ACTIVITIES PT70.50
  • TRACTION CERVICAL-PT56.00
  • ULTRASOUND-PT 15MIN58.00
  • US E STIM-PT 15MIN57.50
  • WP EXT STRLWOUND-PT96.00