Patient Price Information List

Disclaimer: Geary Community Hospital determines its standard charges for patient items and services through the use of a chargemaster system, which is a list of charges for the components of patient care that go into every patient’s bill. These are the baseline rates for items and services provided at the Hospital. The chargemaster is similar in concept to the manufacturer’s suggested retail price (“MSRP”) on a particular product or good. The charges listed provide only a general starting point in determining the potential costs of an individual patient’s care at the Hospital. This list does not reflect the actual out-of-pocket costs that may be paid by a patient for any particular service, it is not binding, and the actual charges for items and services may vary.

Many factors may influence the actual cost of an item or service, including insurance coverage, rates negotiated with payors, and so on. Government payors, such as Medicare and Medicaid for example, do not pay the chargemaster rates, but rather have their own set rates that hospitals are obligated to accept. Commercial insurance payments are based on contract negotiations with payors and may or may not reflect the standard charges. The cost of treatment also may be impacted by variables involved in a patient’s actual care, such as specific equipment or supplies required, the length of time spent in surgery or recovery, additional tests, or any changes in care or unexpected conditions or complications that arise. Moreover, the foregoing list of charges for services only includes charges from the Hospital. It does not reflect the charges for physicians, such as the surgeon, anesthesiologist, radiologist, pathologist, or other physician specialists or providers who may be involved in providing particular services to a patient. These charges are billed separately.

Individuals with questions about their out-of-pocket costs of service and other financial information should contact the hospital or consider contacting their insurers for further information.

LOCAL MARKET HOSPITALS

In order to present a meaningful comparison, Geary Community Hospital has partnered with Hospital Pricing Specialists LLC to analyze current charges, based off CMS adjudicated claims through 3/31/2020. Geary Community Hospital charges are displayed and compared with the local market charge, consisting of the following hospitals:

Hospital Name
Location

Clay County Medical Center

Clay Center

KS

Community Healthcare System

Onaga

KS

Community Memorial Health Care

Marysville

KS

Holton Community Hospital

Holton

KS

Manhattan Surgical Hospital

Manhattan

KS

McPherson Hospital

McPherson

KS

Memorial Hospital-Abilene

Abilene

KS

Morris County Hospital

Council Grove

KS

Newman Regional Health

Emporia

KS

Salina Regional Health Ctr-Santa Fe

Salina

KS

Salina Surgical Hospital

Salina

KS

Via Christi Hospital in Manhattan

Manhattan

KS

INPATIENT ROOM AND BOARD DAILY CHARGES

Description

Our Charge
Market Charge

Variance

Private Room

$1,563
$1,406

11% higher than market

Intensive Care Unit

$3,531
$2,779

27% higher than market

OUTPATIENT 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. The following charges do not include fees for drugs, supplies or additional ancillary procedures that may be required for a particular emergency treatment. They also do not include fees for Emergency Department physicians, who will bill separately for their services.

Description

Our Charge
Market Charge

Variance

Emergency Department Visit - Level 4

$798
$773

3% higher than market

Emergency Department Visit - Level 5

$1,217
$1,250

3% lower than market

Emergency Critical Care, Each Additional 30 Minutes

$481
$512

6% lower than market

Emergency Critical Care, First 30 Minutes

$1,955
$1,854

5% higher than market

OUTPATIENT PHYSICAL THERAPY CHARGES

The following charges reflect the most common services offered by our Physical Therapy department. Patients may have additional charges, depending on the services performed.

Description

Our Charge
Market Charge

Variance

Gait Training - 15 Minutes

$52
$79

35% lower than market

PT Evaluation - Moderate Complexity

$127
$217

41% lower than market

Physical Therapy Exercise, 15 Minutes

$55
$94

41% lower than market

Physical Therapy, standard evaluation - 20 minutes

$127
$180

29% lower than market

OUTPATIENT OCCUPATIONAL THERAPY CHARGES

The following charges reflect the most common services offered by our Occupational Therapy department. Patients may have additional charges, depending on the services performed.

Description

Our Charge
Market Charge

Variance

Occupational Therapy Evaluation - Moderate Complexity

$130
$214

39% lower than market

Occupational Therapy, standard evaluation - 30 minutes

$130
$203

36% lower than market

Self Care - Home Management Training - 15 Minutes

$47
$88

46% lower than market

Therapeutic Activities Involving Functional Activities (15 min)

$55
$91

40% lower than market

OUTPATIENT PULMONARY THERAPY CHARGES

The following charges reflect the most common services offered by our Pulmonary Therapy department. Patients may have additional charges, depending on the services performed.

Description

Our Charge
Market Charge

Variance

Spirometry - breathing test

$278
$346

20% lower than market

OUTPATIENT SPEECH THERAPY CHARGES

Description

Our Charge
Market Charge

Variance

Evaluation of Speech Sound Production and Language Comprehenson

$267
$352

24% lower than market

Swallow Evaluation

$276
$324

15% lower than market

OUTPATIENT LABORATORY AND PATHOLOGY CHARGES

The following charges reflect our most common laboratory procedures. For all lab specimens collected via blood draw, the venipuncture will be charged separately.

Description

Our Charge
Market Charge

Variance

Alpha-Fetoprotein (AFP) Level, Serum

$158
$143

10% higher than market

Angiotensin l - converting enzyme (ACE) level

$112
$145

23% lower than market

Antibody Screen

$216
$202

7% higher than market

Antihuman globulin test (Coombs test); direct, each antiserum

$89
$84

5% higher than market

Arterial Blood Gases Measurement

$269
$256

5% higher than market

Blood Unit Compatibility Test; Immediate Spin Technique

$134
$143

6% lower than market

Blood glucose (sugar) level

$55
$50

10% higher than market

Blood glucose (sugar) measurement using reagent strip

$33
$33

Approximately equal to market

Blood test, basic group of blood chemicals

$233
$88

164% higher than market

Blood test, clotting time

$129
$46

181% higher than market

Blood test, comprehensive group of blood chemicals

$296
$144

106% higher than market

Blood test, lipids (cholesterol and triglycerides)

$202
$133

52% higher than market

Blood test, thyroid stimulating hormone (TSH)

$236
$158

49% higher than market

Breath test analysis for helicobacter pylori

$420
$438

4% lower than market

Column chromatography/, includes mass spectrometry, if performed (eg, HPLC, LC, LC/MS, LC/MS-MS, GC, GC/MS-MS, or GC/MS, HPLC/MS), non-drug analyte(s) not elsewhere specified, qualitative or quantitative, each specimen

$233
$223

4% higher than market

Complete blood cell count - automated differential WBC count

$172
$79

119% higher than market

Complete blood cell count - automated test with out Differential

$116
$58

101% higher than market

Detection Test for Chlamydia; Amplified Probe Technique

$148
$147

1% higher than market

Detection Test for Hepatitis B

$118
$128

8% lower than market

Detection Test for Hepatitis C Virus; Includes Reverse Transcription

$502
$509

1% lower than market

Detection Test for Neisseria Gonorrhoeae

$148
$138

7% higher than market

Detection test for Staphylococcus aureus, methicillin resistant (MRSA bacteria)

$127
$228

44% lower than market

Detection test for clostridium difficile

$141
$171

18% lower than market

Detection test for multiple types influenza virus

$210
$284

26% lower than market

Detection test for organism; quantification, each organism

$516
$627

18% lower than market

Drug test(s); includes specimen validity testing, per day; 8-14 drug class(es)

$187
$554

66% lower than market

Gammaglobulin Measurement

$113
$102

10% higher than market

Glutamyltransferase (liver enzyme) level

$92
$89

4% higher than market

Hepatitis C Antibody Measurement

$149
$139

7% higher than market

Immunofixation electrophoresis; serum

$195
$178

10% higher than market

Immunologic Analysis for Detection of Tumor Antigen; Immunoassay - Quantitative CA 15-3

$154
$157

2% lower than market

Immunologic analysis for detection of tumor antigen (CA 125)

$156
$170

8% lower than market

Infectious agent antigen detection by immunoassay technique, (eg, enzyme immunoassay [EIA], enzyme-linked immunosorbent assay [ELISA], immunochemiluminometric assay [IMCA]) qualitative or semiquantitative, multiple-step metho

$112
$143

21% lower than market

Ketone bodies analysis, qualtitative

$57
$60

5% lower than market

Kidney Function Blood Test Panel

$195
$111

76% higher than market

Levetiracetam level

$86
$189

55% lower than market

Liver function blood test panel

$313
$105

198% higher than market

Measurement of Antibody for Assessment of Autoimmune Disorder

$119
$150

21% lower than market

Nephelometry, test method using light

$135
$140

3% lower than market

PSA (prostate specific antigen) measurement

$175
$150

17% higher than market

Coagulation assessment blood test

$159
$83

91% higher than market

Pathology examination of tissue using a microscope, intermediate complexity

$210
$262

20% lower than market

Pathology examination of tissue using a microscope, moderately low complexity

$126
$182

31% lower than market

Phosphatase (enzyme) level

$69
$76

10% lower than market

Red Blood Cells, Leukocytes Reduced, Each Unit

$529
$609

13% lower than market

Red blood cells, leukocytes reduced, irradiated, each unit

$597
$803

26% lower than market

Screening Test for Red Blood Cell Antibodies

$109
$106

3% higher than market

Smear for Parasites

$99
$104

5% lower than market

Special Stain for Microorganism; Gram or Glemsa Stain

$69
$63

9% higher than market

Special stained specimen slides to identify organisms including interpretation and report

$84
$137

39% lower than market

Stool Analysis for Blood

$38
$39

2% lower than market

Stool analysis for blood to screen for colon tumors

$39
$42

6% lower than market

Stool culture - additional pathogens

$76
$70

9% higher than market

Syphilis Detection Test

$64
$68

6% lower than market

Urinalysis with Examination, using Microscope

$98
$54

82% higher than market

Urinalysis, Automated Test

$53
$28

87% higher than market

Vitamin B-6 level

$206
$208

1% lower than market

Vitamin D-3 Level

$316
$318

1% lower than market

OUTPATIENT MEDICINE CHARGES

Description

Our Charge
Market Charge

Variance

Fluoroscopic and video recorded motion evaluation of swallowing function

$330
$436

24% lower than market

Hydration Infusion into a Vein

$165
$150

10% higher than market

Infusion (Additional) for Therapy, Diagnosis or Prevention

$158
$227

31% lower than market

Injection Beneath the Skin for Therapy, Diagnosis, or Prevention

$104
$99

5% higher than market

Measurement and recording of brain wave (EEG) activity, awake and drowsy

$910
$964

6% lower than market

Physician services for outpatient heart rehabilitation with continuous EKG monitoring per session

$227
$226

1% higher than market

Sleep monitoring of patient (6 years or older) in sleep lab

$4,049
$3,309

22% higher than market

Unattended sleep study with recording of heart rate, oxygen, respiratory airflow and effort

$221
$310

29% lower than market

OUTPATIENT OBSERVATION CHARGES

Description

Our Charge
Market Charge

Variance

Hospital Observation per Hour

$60
$200

70% lower than market

OUTPATIENT OTHER CHARGES

Description

Our Charge
Market Charge

Variance

Direct admission of patient for hospital observation care

$236
$220

8% higher than market

Injection, gadolinium-based magnetic resonance contrast agent, not otherwise specified (nos), per ml

$32
$57

44% lower than market

Non-covered item or service

$2
$3

26% lower than market

Removal of recurring cataract in lens capsule using laser

$1,682
$1,530

10% higher than market

OUTPATIENT PHARMACY AND DRUG ADMINISTRATION CHARGES

Description

Our Charge
Market Charge

Variance

Administration of 1 Vaccine

$61
$68

11% lower than market

Injection of Drug or Substance into Vein for Therapy or Diagnosis

$158
$177

11% lower than market

Injection, Heparin Sodium, per 1000 Units

$1
$6

80% lower than market

Injection, Magnesium Sulfate, per 500 mg

$32
$38

16% lower than market

Injection, Methylprednisolone Sodium Succinate, up to 125 mg

$42
$43

1% lower than market

Injection, alteplase recombinant, 1 mg

$237
$228

4% higher than market

Injection, amiodarone hydrochloride, 30 mg

$6
$11

43% lower than market

Injection, cefoxitin sodium, 1 gm

$44
$40

11% higher than market

Injection, daptomycin, 1 mg

$1
$1

8% lower than market

Injection, denosumab, 1 mg

$26
$42

39% lower than market

Injection, dopamine hcl, 40 mg

$14
$19

30% lower than market

Injection, ertapenem sodium, 500 mg

$103
$147

30% lower than market

Injection, iron sucrose, 1 mg

$1
$2

60% lower than market

Injection, regadenoson, 0.1 mg

$98
$196

50% lower than market

Injection, tenecteplase, 1 mg

$152
$243

37% lower than market

Injection, zoledronic acid, 1 mg

$108
$374

71% lower than market

OUTPATIENT RESPIRATORY THERAPY CHARGES

The following charges reflect the most common services offered by our Respiratory Therapy department. Patients may have additional charges, depending on the services performed.

Description

Our Charge
Market Charge

Variance

Arterial Puncture

$117
$129

9% lower than market

OUTPATIENT SUPPLIES CHARGES

Description

Our Charge
Market Charge

Variance

Anchor/screw for opposing bone-to-bone or soft tissue-to-bone (implantable)

$2,059
$2,025

2% higher than market

Fluorodeoxyglucose f-18 fdg, diagnostic, per study dose, up to 45 millicuries

$400
$971

59% lower than market

OUTPATIENT SURGICAL SERVICES CHARGES

Description

Our Charge
Market Charge

Variance

Cystourethroscopy, with ureteral catheterization

$2,328
$5,651

59% lower than market

Application of Short Arm Splint

$336
$306

10% higher than market

Application of long arm splint (shoulder to hand)

$350
$351

Approximately equal to market

Aspiration and/or injection: intermediate joint/bursa

$350
$478

27% lower than market

Aspiration and/or injection: large joint/bursa

$350
$499

30% lower than market

Aspiration and/or injection: small joint/bursa

$350
$326

7% higher than market

Balloon dilation of esophagus, stomach, and/or upper small bowel using an endoscope

$1,422
$1,423

Approximately equal to market

Biopsy of Large Bowel, Using an Endoscope

$1,422
$2,150

34% lower than market

Biopsy of breast accessed throught the skin with ultrasound guidance; first lesion

$2,415
$2,515

4% lower than market

Biopsy of the Esophagus, Stomach, Using an Endoscope

$2,030
$1,594

27% higher than market

Biopsy or removal of lymph nodes, open procedure

$5,400
$5,809

7% lower than market

Carpal Tunnel Release

$3,566
$3,653

2% lower than market

Colonscopy

$2,030
$1,710

19% higher than market

Control Nose Bleed - Simple Case

$339
$477

29% lower than market

Correction, hallux valgus (bunionectomy), with sesamoidectomy, when performed; with proximal phalanx osteotomy, any method

$2,106
$4,804

56% lower than market

Diagnostic Examination of Esophagus, Stomach, and/or Upper Small Bowel with Endoscope

$2,843
$1,457

95% higher than market

Dilation of bladder canal (urethra) using an endoscope

$2,843
$5,265

46% lower than market

Drainage of blood or fluid accumulation

$1,530
$2,336

34% lower than market

Esophagogastroduodenoscopy, flexible, transoral; with transendoscopic balloon dilation of esophagus (less than 30 mm diameter)

$1,422
$1,747

19% lower than market

Examination with injections of chemical for destruction of bladder using an endoscope

$4,656
$4,433

5% higher than market

Fusion of finger joint; interphalangeal joint

$2,726
$3,308

18% lower than market

Gallbladder Removal Using an Endoscope

$12,110
$7,253

67% higher than market

Hammer Toe Correction

$1,494
$5,124

71% lower than market

Introduction of needle or intracatheter, vein

$163
$212

23% lower than market

Incision to repair tendon covering at wrist; deQuervains disease

$3,566
$5,567

36% lower than market

Injection procedure for sacroiliac joint; provision of anesthetic, steroid and/or other therapeutic agent, with or without arthrography

$720
$1,558

54% lower than market

Injections of large bowel using an endoscope

$1,422
$2,241

37% lower than market

Injections of trigger points in 1 or 2 muscles

$357
$454

21% lower than market

Injections of trigger points in 3 or more muscles

$357
$462

23% lower than market

Insertion of Breathing Tube Using an Endoscope

$508
$768

34% lower than market

Insertion of Indwelling Bladder Catheter

$190
$188

1% higher than market

Insertion of Needle into Vein to Collect Blood

$30
$28

7% higher than market

Insertion of non-tunneled centrally inserted central venous catheter; age 5 years or older

$1,376
$2,885

52% lower than market

Insertion of stent in urinary duct (ureter) using an endoscope

$2,328
$4,016

42% lower than market

Removal of one knee cartilage using an endoscope

$10,160
$8,785

16% higher than market

Myelography via lumbar injection

$4,458
$4,139

8% higher than market

Needle biopsy of liver, accessed through the skin

$1,553
$1,973

21% lower than market

Needle biopsy of lung or chest tissue, accessed through the skin

$1,170
$1,563

25% lower than market

Open treatment of broken of lower forearm bone or growth plate separation with insertion of hardware

$2,717
$8,970

70% lower than market

Partial removal of toe bone

$1,494
$3,959

62% lower than market

Placement of breast localization device(s) (eg, clip, metallic pellet, wire/needle, radioactive seeds), percutaneous; first lesion, including ultrasound guidance

$589
$1,032

43% lower than market

Colonoscopy with removal of polyp(s)

$2,843
$1,885

51% higher than market

Removal of bone joints between wrist and fingers

$4,534
$9,015

50% lower than market

Removal of bunion at fifth toe joint

$1,783
$4,482

60% lower than market

Removal of cyst at wrist (dorsal or volar); primary

$2,242
$5,458

59% lower than market

Removal of engorged hemorrhoid

$1,900
$3,831

50% lower than market

Removal of fluid from between lung and chest cavity, open procedure

$1,268
$6,435

80% lower than market

Removal of fluid from chest cavity with imaging guidance

$1,019
$959

6% higher than market

Removal of foreign bodies of esophagus, stomach, and/or upper small bowel using an endoscope

$1,422
$1,659

14% lower than market

Removal of growth (1.1 to 2.0 centimeters) of the face, ears, eyelids, nose, lips, or mouth

$1,350
$3,855

65% lower than market

Removal of growth (1.1 to 2.0 centimeters) of the trunk, arms, or legs

$459
$1,282

64% lower than market

Removal of growth (2.1 to 3.0 centimeters) of the scalp, neck, hands, feet, or genitals

$445
$1,575

72% lower than market

Removal of polyps or growths of esophagus, stomach, and/or upper small bowel using an endoscope; with hot biopsy forceps; snare technique

$1,353
$1,873

28% lower than market

Removal of single thickened skin growth

$291
$274

6% higher than market

Removal or scraping of bone cyst or growth of ankle bone

$1,783
$3,977

55% lower than market

Repair of Wound (2.6 to 7.5 centimeters)

$499
$655

24% lower than market

Repair of torn shoulder tendons

$9,896
$14,210

30% lower than market

Repair of wound (12.6 to 20.0 centimeters) of the scalp, underarms, trunk, arms, and/or legs

$1,211
$1,800

33% lower than market

Repair of wound (2.5 centimeters or less) of neck, hands, feet, and/or genitals

$153
$268

43% lower than market

Repair of wound (2.5 centimeters or less) of the scalp, underarms, trunk, arms, and/or legs

$459
$1,833

75% lower than market

Rotator Cuff Repair

$5,680
$7,548

25% lower than market

Shaving of shoulder bone using an endoscope

$5,680
$6,350

11% lower than market

Simple wound repair of face, including ears; 2.6 cm to 5.0 cm

$464
$434

7% higher than market

Spinal tap for diagnosis

$862
$1,088

21% lower than market

Tissue transfer repair of wound (10 sq centimeters or less) of the trunk

$3,159
$3,942

20% lower than market

OUTPATIENT X-RAY AND RADIOLOGICAL CHARGES

The following charges reflect our most common x-ray and radiological procedures. For all exams requiring contrast, the contrast will be charged separately.

Description

Our Charge
Market Charge

Variance

Bone Density Scan (DEXA Scan)

$473
$429

10% higher than market

Bone and/or joint imaging

$1,115
$1,050

6% higher than market

Breast Ultrasound - Limited

$525
$554

5% lower than market

CT Abdomen & Pelvis with Contrast

$4,785
$3,127

53% higher than market

CT Angiogram Abdomen with and without Contrast

$2,487
$2,378

5% higher than market

CT Angiogram Head with and without Contrast

$2,410
$2,230

8% higher than market

CT Angiogram Neck with and without Contrast

$2,482
$2,351

6% higher than market

CT Arm without Contrast

$1,688
$1,598

6% higher than market

CT Cranial Cavity without Contrast

$1,644
$1,784

8% lower than market

CT Face without Contrast

$1,846
$1,789

3% higher than market

CT Head Brain without Contrast

$1,853
$1,648

12% higher than market

CT Leg with Contrast

$1,927
$1,849

4% higher than market

CT Leg without Contrast

$1,708
$1,595

7% higher than market

CT Neck with Contrast

$2,016
$1,917

5% higher than market

CT Neck without Contrast

$1,671
$1,679

Approximately equal to market

CT Pelvis with Contrast

$2,293
$1,996

15% higher than market

CT Scan of Abdominal Aorta and Both Leg Arteries with Contrast

$3,231
$3,175

2% higher than market

CT Spine Lumbar without Contrast

$2,006
$1,962

2% higher than market

Diagnostic mammography, bilateral

$399
$345

16% higher than market

Diagnostic mammography, unilateral

$399
$282

42% higher than market

Fluoroscopic guidance for insertion of needle

$768
$805

5% lower than market

Follow-up or limited ultrasound examination of heart

$744
$849

12% lower than market

Imaging for bone length assessment

$373
$669

44% lower than market

Imaging of Abdomen; 2 Views

$415
$393

6% higher than market

Imaging of urinary tract

$542
$1,013

47% lower than market

Limited bilateral noninvasive physiologic studies of upper or lower extremity arteries

$593
$669

11% lower than market

MRA Head without Contrast

$2,186
$2,656

18% lower than market

MRA Neck with and without Contrast

$2,877
$3,265

12% lower than market

MRI Abdomen with and without Contrast

$3,402
$3,600

6% lower than market

MRI Abdomen without Contrast

$2,385
$2,503

5% lower than market

MRI Arm Join with and without Contrast

$3,165
$2,871

10% higher than market

MRI Arm without Contrast

$2,259
$2,346

4% lower than market

MRI Brain with and without Conrast

$3,894
$3,405

14% higher than market

MRI Brain without Contrast

$2,623
$2,493

5% higher than market

MRI Leg Joint with and without Contrast

$3,080
$3,145

2% lower than market

MRI Leg Joint without Contrast

$2,589
$2,372

9% higher than market

MRI Leg with and without Contrast

$2,988
$3,219

7% lower than market

MRI Leg without Contrast

$2,315
$2,309

Approximately equal to market

MRI Orbit, Face, Neck with and without Contrast

$3,402
$3,380

1% higher than market

MRI Pelvis without Contrast

$2,338
$2,341

Approximately equal to market

MRI Spine Cervical with and without Contrast

$3,579
$3,452

4% higher than market

MRI Spine Cervical without Contrast

$2,780
$2,610

7% higher than market

MRI Spine Lumbar without Contrast

$2,699
$2,575

5% higher than market

MRI Spine Thoracic with and without Contrast

$3,205
$3,016

6% higher than market

MRI Spine Thoracic without Contrast

$2,459
$2,531

3% lower than market

MRI scan of leg joint with contrast

$2,520
$2,646

5% lower than market

Nuclear medicine study with CT imaging skull base to mid-thigh

$2,600
$3,893

33% lower than market

Screening Mammography, Bilateral, with CAD

$340
$273

24% higher than market

Ultrasound Abdomen - Complete

$1,041
$853

22% higher than market

Ultrasound Heart

$2,176
$2,270

4% lower than market

Ultrasound Joint Soft Tissue - Limited

$464
$552

16% lower than market

Ultrasound Pelvis through Vagina

$636
$596

7% higher than market

Ultrasound Scrotum

$764
$756

1% higher than market

Ultrasound Veins of Both Arms or Legs

$994
$1,037

4% lower than market

Ultrasound Veins of One Arm or Leg

$864
$914

5% lower than market

Ultrasound limited scan of abdominal, pelvic, and/or scrotal arterial inflow and venous outflow

$707
$700

1% higher than market

Ultrasound of Arteries of One Leg

$666
$751

11% lower than market

Ultrasound of pelvis

$647
$632

2% higher than market

Ultrasound study of arteries and arterial grafts of one arm or limited

$713
$765

7% lower than market

X-Ray Both Knees

$280
$287

2% lower than market

X-Ray Elbow, 2 Views

$341
$320

7% higher than market

X-Ray Lower Sacral Spine, 4 or More Views

$833
$563

48% higher than market

X-Ray Shoulder, 1 View

$296
$270

10% higher than market

X-Ray Upper Digestive Tract with Contrast

$1,237
$1,151

7% higher than market

X-Ray Upper Digestive Tract without Contrast

$734
$832

12% lower than market

X-ray Ribs One Side, Minimum 3 Views

$516
$481

7% higher than market

X-ray lower and sacral spine including bending views 2 or 3 views

$449
$752

40% lower than market

X-ray lower and sacral spine including bending views minimum 6 views

$495
$672

26% lower than market

X-ray of skull, complete, minimum of 4 views

$523
$541

3% lower than market

X-ray of spine, 1 view

$341
$409

17% lower than market

X-ray of upper digestive tract with contrast

$876
$837

5% higher than market

X-ray of upper spine, 6 or more views

$659
$700

6% lower than market

X-ray survey of forearm or wrist bone density

$1,063
$1,059

Approximately equal to market

INPATIENT GYNECOLOGY CHARGES

Description

Our Charge
Market Charge

Variance

Uterus or Ovary Surgery Not Related to Cancer without complications

$31,725
$28,104

13% higher than market

INPATIENT ORTHOPEDIC SURGERY CHARGES

Description

Our Charge
Market Charge

Variance

Total Knee or Hip Replacement

$52,486
$41,631

26% higher than market

BILLING PROCESS AND INFORMATION

How You Can Help

Thank you for choosing Geary Community Hospital for your healthcare needs. At Geary Community Hospital, we are committed to making the billing process as patient-friendly as possible. Here are some ways you can help the billing process go smoothly.

• Please give us complete health insurance information.

In addition to your health insurance card, we may ask for a photo ID. If you have been seen at Geary Community Hospital, let us know if your personal information or insurance information has changed since your last visit.

• Please understand and follow the requirements of your health plan.

Be sure to know your benefits, obtain proper authorization for services and submit referral claim forms if necessary. Many insurance plans require patients to pay a co-payment or deductible amount. You are responsible for paying co-payments required by your insurance provider and Geary Community Hospital is responsible for collecting co-payments. Please come to your appointment prepared to make your co-payment.

• Please respond promptly to any requests from your insurance provider.

You may receive multiple bills for your hospital visit, including your family doctor, specialists, physicians to read x-rays, give anesthesia, or do blood work. Insurance benefits are the result of your contract with your insurance company. We are a third-party to those benefits and may need your help with your insurance. If your insurance plan does not pay the bill within 90 days after billing, or your claim is denied, you will receive a statement from Geary Community Hospital indicating the bill is now your responsibility. All bills sent to you are due upon receipt.

Questions about Price and Billing Information

Our goal is for each of our patients and their families to have the best healthcare experience possible. Part of our commitment is to provide you with information that helps you make well informed decisions about your own care.

To ask questions or get more information about a bill for services you've received, please contact our Customer Call Center at (785) 210-3405.

If you need more information about the price of a future service, please contact our Price Hotline at (785) 210-3405. A CPT code is strongly encouraged when you call. You can obtain the CPT code from the ordering physician.

Online Payment, Registration, & Scheduling

For the convenience of our patients, a number of online services are available at http://gearycommunityhospital.org/. Geary Community Hospital offers secure online payment.

Geary Community Hospital also offers pre-registration and appointment requests through a secure online form at http://gearycommunityhospital.org/. Patients may pre-register for surgeries, admissions, outpatient procedures and tests at least three business days in advance. Patients may also pre-register for maternity services up to three months prior to their expected delivery date.

Financial Assistance

We are pleased to offer financial assistance to patients with limited resources and inadequate medical insurance coverage. Eligibility is determined by total family income/assets. The patient must agree to apply for other assistance available to pay hospital charges (Medicaid, Medicare, private insurance) before being discharged.

Geary Community Hospital's Charity Care Policy

Geary Community Hospital provides high quality care to everyone, regardless of their ability to pay.

Geary Community Hospital's charity care policy includes:

• Substantial charity care guidelines that provide free care for individuals and families who earn less than 200 percent of the federal poverty level.

• Sliding scale fees to provide substantially discounted care for individuals and families who are between 200 and 400 percent of the federal poverty level.

• Hardship policy for those patients who would not otherwise qualify for charity care but have unique circumstances.

In many cases, Geary Community Hospital offers interest free loans for up to one year to assist patients.

For more information, please contact our Customer Call Center at (785) 210-3405.