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Patient Price Information List

Disclaimer: Ohio County 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, Ohio County Hospital has partnered with Hospital Pricing Specialists LLC to analyze current charges, based off CMS adjudicated claims through 3/31/2022. Ohio County Hospital's charges are displayed and compared with the local market charge, consisting of the following hospitals:

Hospital Name
Location

Baptist Health Madisonville

Madisonville

KY

Deaconess Midtown Hospital

Evansville

IN

Owensboro Health Muhlenberg Community Hospital

Greenville

KY

Owensboro Health Regional Hospital

Owensboro

KY

The Medical Center at Bowling Green

Bowling Green

KY

TriStar Greenview Regional Hospital

Bowling Green

KY

Twin Lakes Reg Med Ctr

Leitchfield

KY

INPATIENT ROOM AND BOARD DAILY CHARGES

Description

Our Charge
Market Charge

Variance

Semi-Private Room

$1,100
$1,448

24% lower than market

Swing Bed

$600
$600

Approximately equal to market

Private Telemetry

$1,300
$1,300

Approximately equal to market

Semi-Private Telemetry

$1,300
$1,300

Approximately equal to market

Intensive Care Unit

$3,000
$2,462

22% higher than market

CMS SHOPPABLE SERVICE

Description

Our Charge
Market Charge

Variance

Abdominal and pelvic CT scan with contrast for injury, foreign bodies, or tumors [HCPCS 74177]

$1,100
$4,970

78% lower than market

Abdominal ultrasound (complete) [HCPCS 76700]

$1,051
$1,540

32% lower than market

Cataract removal involving removal of the front part of the capsule and the central part of the lens with lens prosthesis insertion [HCPCS 66984]

$6,559
$11,809

44% lower than market

Colon (large bowel) examination and biopsy with endoscope [HCPCS 45380]

$4,106
$6,037

32% lower than market

Colon (large bowel) examination and polyps or tumors removal by snare technique with endoscope [HCPCS 45385]

$3,786
$6,668

43% lower than market

Colon (large bowel) examination with endoscope for diagnosis (high risk) [HCPCS 45378]

$2,947
$5,654

48% lower than market

Esophagus, stomach, and/or upper small bowel examination and biopsy with endoscope [HCPCS 43239]

$4,077
$6,322

36% lower than market

Esophagus, stomach, and/or upper small bowel examination with endoscope for diagnosis [HCPCS 43235]

$3,129
$6,148

49% lower than market

Gallbladder removal with an endoscope [HCPCS 47562]

$7,547
$19,304

61% lower than market

Head or brain CT scan without contrast to examine injury, foreign bodies, or tumors [HCPCS 70450]

$1,100
$2,304

52% lower than market

Imaging of brain by MRI without contrast, followed by contrast [HCPCS 70553]

$1,100
$3,839

71% lower than market

Imaging of leg joint by MRI without contrast [HCPCS 73721]

$1,100
$3,218

66% lower than market

Imaging of lower spinal canal by MRI without contrast [HCPCS 72148]

$1,100
$3,367

67% lower than market

Imaging of pelvis by ultrasound through vagina [HCPCS 76830]

$685
$1,205

43% lower than market

Lab analysis of urine specimen by dipstick with microscope (automated) [HCPCS 81001]

$14
$99

86% lower than market

Lab analysis of urine specimen by dipstick without microscope (automated) [HCPCS 81003]

$10
$62

84% lower than market

Lab analysis to evaluate kidney function via a blood test panel [HCPCS 80069]

$27
$99

73% lower than market

Lab analysis to evaluate the clotting time in plasma specimen and monitor drug effectiveness [HCPCS 85610]

$209
$73

186% higher than market

Lab analysis to identify the thyroid stimulating hormone (tsh) in blood specimen [HCPCS 84443]

$50
$250

80% lower than market

Lab analysis to measure coagulation in plasma or whole blood specimen [HCPCS 85730]

$209
$132

58% higher than market

Lab analysis to measure complete blood cell count (red cells, white blood cell, and platelets), automated test and automated differential white blood cell count [HCPCS 85025]

$83
$50

67% higher than market

Lab analysis to measure the amount of albumin, total and direct bilirubin, alkaline phosphatase, total protein, alanine amino transferase, and asparate amino transferase in blood specimen to evaluate liver function [HCPCS 800

$25
$128

80% lower than market

Lab analysis to measure the amount of free PSA (prostate specific antigen) in serum specimen [HCPCS 84154]

$56
$181

69% lower than market

Lab analysis to measure the amount of lipids (cholesterol and triglycerides) in blood specimen [HCPCS 80061]

$93
$194

52% lower than market

Lab analysis to measure the amount of total calcium, carbon dioxide (bicarbonate), chloride, creatinine, glucose, potassium, sodium, and urea nitrogen (BUN) in blood specimen [HCPCS 80048]

$26
$227

89% lower than market

Lab analysis to measure the amount of total PSA (prostate specific antigen) in serum specimen [HCPCS 84153]

$56
$199

72% lower than market

Lab analysis via blood test to measure a comprehensive group of blood chemicals [HCPCS 80053]

$37
$200

81% lower than market

Mammography of both breasts (screening exam) [HCPCS 77067]

$358
$408

12% lower than market

Mammography of both breasts for diagnosis [HCPCS 77066]

$444
$466

5% lower than market

Mammography of one breast for diagnosis [HCPCS 77065]

$311
$389

20% lower than market

Physical therapy exercise to develop strength, endurance, range of motion, and flexibility (each 15 minutes) [HCPCS 97110]

$147
$112

31% higher than market

Prostate gland biopsy [HCPCS 55700]

$6,422
$11,083

42% lower than market

Shoulder examination and shoulder bone shaving with endoscope [HCPCS 29826]

$19,842
$29,222

32% lower than market

Sleep pattern monitoring of patient in sleep lab, sleep staging with 4 or more parameters of sleep (6 years of age or older) [HCPCS 95810]

$3,000
$4,749

37% lower than market

Spinal canal injection of substance into lower back or sacrum with imaging guidance [HCPCS 62323]

$2,238
$3,037

26% lower than market

Spinal x-ray of lower and sacral spine (minimum of 4 views) [HCPCS 72110]

$426
$845

50% lower than market

Total Knee or Hip Replacement

$55,421
$63,933

13% lower than market

OUTPATIENT CLINIC

Description

Our Charge
Market Charge

Variance

Hospital outpatient clinic visit for assessment and management of a patient [HCPCS G0463]

$96
$158

39% lower than market

OUTPATIENT EMERGENCY DEPARTMENT

Description

Our Charge
Market Charge

Variance

Emergency department visit for problem of high severity [HCPCS 99284]

$930
$1,502

38% lower than market

Emergency department visit for problem of low to moderate severity [HCPCS 99282]

$470
$656

28% lower than market

Emergency department visit for problem of moderate severity [HCPCS 99283]

$700
$1,055

34% lower than market

Emergency department visit for problem with significant threat to life [HCPCS 99285]

$1,160
$2,115

45% lower than market

OUTPATIENT LABORATORY AND PATHOLOGY

Description

Our Charge
Market Charge

Variance

Drug screening read by chemistry analyzers [HCPCS 80307]

$187
$250

25% lower than market

Lab analysis by immunoassay (ELISA) to identify bacteria toxin (shiga-like toxin) [HCPCS 87427]

$36
$194

81% lower than market

Lab analysis by immunoassay (ELISA) to identify clostridium difficile toxins (stool pathogen) [HCPCS 87324]

$36
$51

30% lower than market

Lab analysis by immunoassay to identify Strep (streptococcus) [HCPCS 87880]

$36
$82

56% lower than market

Lab analysis by nucleic acid (DNA or RNA) to identify multiple types of the influenza virus (first 2 types or sub-types) [HCPCS 87502]

$288
$201

43% higher than market

Lab analysis by nucleic acid (DNA or RNA) to identify Strep (Streptococcus, group A) by amplified probe technique [HCPCS 87651]

$106
$73

46% higher than market

Lab analysis by nucleic acid (DNA or RNA) to measure the amount of organisms [HCPCS 87799]

$129
$338

62% lower than market

Lab analysis of any culture (except blood) to identify aerobic isolates (each isolate) [HCPCS 87077]

$35
$68

49% lower than market

Lab analysis of any culture (except urine, blood, or stool) to identify bacteria [HCPCS 87070]

$26
$165

84% lower than market

Lab analysis of any culture (except urine, blood, or stool) to measure the amount of anaerobic bacteria [HCPCS 87073]

$29
$60

52% lower than market

Lab analysis of blood culture to identify bacteria [HCPCS 87040]

$31
$253

88% lower than market

Lab analysis of complex special stain to identify parasites [HCPCS 87209]

$54
$122

56% lower than market

Lab analysis of smear to identify and measre the amount of parasites in culture [HCPCS 87177]

$27
$86

69% lower than market

Lab analysis of special gram or Giemsa stain to idenitfy microorganisms [HCPCS 87205]

$13
$76

83% lower than market

Lab analysis of stool culture to identify bacteria [HCPCS 87045]

$29
$161

82% lower than market

Lab analysis of stool culture to identify bacteria and additional pathogens [HCPCS 87046]

$29
$51

43% lower than market

Lab analysis of urine culture to measure the amount of bacteria [HCPCS 87086]

$25
$58

57% lower than market

Lab analysis to evaluate an antimicrobial drug (antibiotic, antifungal, antiviral) by microdilution or agar dilution (each multi-antimicrobial, per plate) [HCPCS 87186]

$26
$130

80% lower than market

Lab analysis to evaluate thyroid hormone in serum specimen [HCPCS 84479]

$35
$129

73% lower than market

Lab analysis to identify antibodies to Borrelia burgdorferi (Lyme disease bacteria) [HCPCS 86618]

$156
$100

56% higher than market

Lab analysis to identify antibodies to Rickettsia (bacteria) [HCPCS 86757]

$118
$127

7% lower than market

Lab analysis to identify antibody IgE to allergic substance (each crude allergen extract) [HCPCS 86003]

$515
$67

664% higher than market

Lab analysis to identify Hepatitis A antibodies [HCPCS 86708]

$38
$126

70% lower than market

Lab analysis to identify Hepatitis B core antibodies (IgG and IgM) [HCPCS 86704]

$37
$190

81% lower than market

Lab analysis to identify Hepatitis B surface antibodies [HCPCS 86706]

$33
$109

70% lower than market

Lab analysis to identify substances by immunoassay technique (multiple step method) [HCPCS 83516]

$63
$202

69% lower than market

Lab analysis to identify total thyroxine (thyroid chemical) function in serum specimen for screening [HCPCS 84436]

$45
$117

62% lower than market

Lab analysis to measure blood count (hemoglobin) [HCPCS 85018]

$9
$45

80% lower than market

Lab analysis to measure blood glucose (sugar) level with hand-held instrument [HCPCS 82962]

$10
$23

56% lower than market

Lab analysis to measure coagulation function measurement of D-dimer (quantitative) [HCPCS 85379]

$31
$122

75% lower than market

Lab analysis to measure free thyroxine (thyroid chemical) in serum specimen [HCPCS 84439]

$60
$176

66% lower than market

Lab analysis to measure red blood cell sedimentation rate to detect inflammation (non-automated) [HCPCS 85651]

$15
$133

89% lower than market

Lab analysis to measure the ammonia level [HCPCS 82140]

$44
$262

83% lower than market

Lab analysis to measure the amount of blood gases [HCPCS 82803]

$215
$293

26% lower than market

Lab analysis to measure the amount of blood in stool specimen by peroxidase activity [HCPCS 82272]

$14
$107

87% lower than market

Lab analysis to measure the amount of C-reactive protein in serum to identify infection or inflammation [HCPCS 86140]

$16
$106

85% lower than market

Lab analysis to measure the amount of hepatitis A antibody, hepatitis B core antibody, hepatitis B surface antigen, and hepatitis C antibody in blood specimen to evaluate acute hepatitis [HCPCS 80074]

$24
$348

93% lower than market

Lab analysis to measure the amount of tacrolimus in blood specimen [HCPCS 80197]

$42
$369

89% lower than market

Lab analysis to measure the amount of total digoxin in blood specimen [HCPCS 80162]

$40
$169

76% lower than market

Lab analysis to measure the amount of total valproic acid in blood specimen [HCPCS 80164]

$41
$247

83% lower than market

Lab analysis to measure the amount of troponin (protein) in serum specimen [HCPCS 84484]

$45
$213

79% lower than market

Lab analysis to measure the amylase (enzyme) level in serum specimen [HCPCS 82150]

$20
$143

86% lower than market

Lab analysis to measure the blood potassium level in blood specimen [HCPCS 84132]

$15
$87

83% lower than market

Lab analysis to measure the creatine kinase (cardiac enzyme) level (MB fraction only) [HCPCS 82553]

$35
$154

77% lower than market

Lab analysis to measure the creatinine level in blood specimen to test for kidney function or muscle injury [HCPCS 82565]

$16
$95

83% lower than market

Lab analysis to measure the creatinine level to test for kidney function or muscle injury (other than blood specimen) [HCPCS 82570]

$16
$61

74% lower than market

Lab analysis to measure the cyanocobalamin (vitamin b-12) level [HCPCS 82607]

$30
$171

82% lower than market

Lab analysis to measure the ferritin (blood protein) level [HCPCS 82728]

$41
$190

78% lower than market

Lab analysis to measure the folic acid level in serum specimen [HCPCS 82746]

$30
$164

82% lower than market

Lab analysis to measure the hemoglobin A1C level in blood specimen [HCPCS 83036]

$48
$115

58% lower than market

Lab analysis to measure the iron binding capacity [HCPCS 83550]

$27
$140

81% lower than market

Lab analysis to measure the iron level [HCPCS 83540]

$20
$108

82% lower than market

Lab analysis to measure the lipase (fat enzyme) level [HCPCS 83690]

$21
$157

87% lower than market

Lab analysis to measure the magnesium level in body fluids and cells [HCPCS 83735]

$23
$96

76% lower than market

Lab analysis to measure the microalbumin (protein) level in urine specimen [HCPCS 82043]

$18
$51

64% lower than market

Lab analysis to measure the natriuretic peptide (heart and blood vessel protein) level in plasma specimen [HCPCS 83880]

$118
$250

53% lower than market

Lab analysis to measure the parathormone (parathyroid hormone) level [HCPCS 83970]

$124
$271

54% lower than market

Lab analysis to measure the phosphate level [HCPCS 84100]

$15
$87

83% lower than market

Lab analysis to measure the total creatine kinase (cardiac enzyme) level in blood specimen [HCPCS 82550]

$20
$112

82% lower than market

Lab analysis to measure the total protein level in urine specimen [HCPCS 84156]

$12
$50

76% lower than market

Lab analysis to measure the vitamin D-3 level in serum or plasma specimen [HCPCS 82306]

$174
$213

18% lower than market

Lab analysis to measure total testosterone (hormone) level in serum specimen [HCPCS 84403]

$78
$258

70% lower than market

Lab blood analysis to confirm blood unit compatibility by immediate spin technique [HCPCS 86920]

$95
$224

58% lower than market

Lab blood analysis to identify antigens on red blood cell surface and determine the patient's blood group type (ABO) [HCPCS 86900]

$9
$78

89% lower than market

Lab blood analysis to identify antigens on red blood cell surface and determine the patient's Rh (D) type (Rh positive or Rh negative) [HCPCS 86901]

$9
$91

90% lower than market

Lab blood analysis to screen for antibodies to red blood cell antigens (each serum technique) [HCPCS 86850]

$30
$112

73% lower than market

Pathology lab analysis of special stained specimen slides to examine tissue (each multiplex stain) [HCPCS 88344]

$365
$422

14% lower than market

Pathology lab analysis of special stained specimen slides to examine tissue (initial procedure) [HCPCS 88342]

$185
$435

57% lower than market

Psa screening [HCPCS G0103]

$56
$199

72% lower than market

Rbc leukocytes reduced [HCPCS P9016]

$515
$657

22% lower than market

OUTPATIENT PHYSICAL/OCCUPATIONAL/SPEECH THERAPY

Description

Our Charge
Market Charge

Variance

Elec stim other than wound [HCPCS G0283]

$139
$158

12% lower than market

Function improvement activities with one-on-one contact between patient and provider (each 15 minutes) [HCPCS 97530]

$60
$148

59% lower than market

Occupational therapy evaluation (typically 30 minutes) [HCPCS 97165]

$256
$288

11% lower than market

Physcial therapy exercise of walking training to 1 or more areas (each 15 minutes) [HCPCS 97116]

$113
$128

12% lower than market

Physical therapy evaluation (typically 20 minutes) [HCPCS 97161]

$263
$286

8% lower than market

Physical therapy evaluation (typically 30 minutes) [HCPCS 97162]

$300
$339

11% lower than market

Physical therapy techniques to 1 or more regions (each 15 minutes) [HCPCS 97140]

$120
$169

29% lower than market

Speech, language, voice, communication, and/or hearing processing disorder treatment [HCPCS 92507]

$240
$320

25% lower than market

Training activities for home and self-care management (each 15 minutes) [HCPCS 97535]

$50
$100

50% lower than market

OUTPATIENT PULMONARY THERAPY

Description

Our Charge
Market Charge

Variance

Amount and speed of breathed air measurement and graphic recording before and after medication administration [HCPCS 94060]

$498
$831

40% lower than market

CPAP (continuous positive airway pressure) mask or breathing tube initiation and management for night time respiratory muscle rest [HCPCS 94660]

$416
$445

6% lower than market

External 48-hour EKG heart rhythm tracing, analysis, and interpretation with recording [HCPCS 93225]

$457
$657

30% lower than market

Heart and blood vessel stress test with EKG tracing and monitoring (exercise or drug-induced) [HCPCS 93017]

$888
$1,420

37% lower than market

Pulmonary rehab w exer [HCPCS G0424]

$287
$314

9% lower than market

Routine EKG (electrocardiogram) tracing using at least 12 wires [HCPCS 93005]

$293
$357

18% lower than market

OUTPATIENT RESPIRATORY THERAPY

Description

Our Charge
Market Charge

Variance

Airway inhalation treatment to relieve airway obstruction or for sputum collection (inhaled pressure or nonpressure treatment) [HCPCS 94640]

$202
$234

14% lower than market

Lung diffusing capacity measurement [HCPCS 94729]

$320
$354

10% lower than market

OUTPATIENT X-RAY AND RADIOLOGICAL

Description

Our Charge
Market Charge

Variance

Abdominal and pelvic CT scan without contrast for injury, foreign bodies, or tumors [HCPCS 74176]

$1,100
$3,984

72% lower than market

Abdominal and pelvic CT scan without contrast, followed by contrast for injury, foreign bodies, or tumors [HCPCS 74178]

$1,100
$6,010

82% lower than market

Abdominal aorta ultrasound for screening of abdominal aortic aneurysm [HCPCS 76706]

$685
$663

3% higher than market

Abdominal CT scan with contrast for injury, foreign bodies, or tumors [HCPCS 74160]

$1,100
$2,894

62% lower than market

Abdominal ultrasound (limited) [HCPCS 76705]

$685
$1,013

32% lower than market

Abdominal x-ray (2 views) [HCPCS 74019]

$303
$499

39% lower than market

Abdominal x-ray (single view) [HCPCS 74018]

$224
$446

50% lower than market

Abdominal x-ray, complete study including 2 or more views of abdomen and single view of chest [HCPCS 74022]

$382
$731

48% lower than market

Abdominal, pelvic, and/or scrotal arterial inflow and venous outflow ultrasound (complete study) [HCPCS 93975]

$1,377
$1,495

8% lower than market

Ankle x-ray (minimum of 3 views) [HCPCS 73610]

$290
$504

42% lower than market

Arm x-ray of forearm (2 views) [HCPCS 73090]

$224
$468

52% lower than market

Arm x-ray of upper arm (minimum of 2 views) [HCPCS 73060]

$224
$491

54% lower than market

Arms or legs veins ultrasound with assessment of compression and functional maneuvers (complete, both arms or legs) [HCPCS 93970]

$1,377
$1,742

21% lower than market

Arms or legs veins ultrasound with assessment of compression and functional maneuvers (limited, one arm or leg) [HCPCS 93971]

$653
$1,298

50% lower than market

Blood flow (outside of the brain) ultrasound on both sides of head and neck [HCPCS 93880]

$1,209
$1,756

31% lower than market

Breast ultrasound (one breast, complete) [HCPCS 76641]

$685
$661

4% higher than market

Chest CT scan with contrast to examine injury, foreign bodies, or tumors [HCPCS 71260]

$1,100
$2,800

61% lower than market

Chest CT scan without contrast to examine injury, foreign bodies, or tumors [HCPCS 71250]

$1,100
$2,327

53% lower than market

Chest x-ray (2 views) [HCPCS 71046]

$268
$386

31% lower than market

Chest x-ray (single view) [HCPCS 71045]

$224
$305

27% lower than market

CTA scan of chest blood vessels with contrast to examine injury, foreign bodies, or tumors [HCPCS 71275]

$1,100
$3,022

64% lower than market

CTA scan of head blood vessels with contrast to examine blood clots or aneurysms [HCPCS 70496]

$1,100
$2,760

60% lower than market

CTA scan of neck blood vessels with contrast to examine blood clots or aneurysms [HCPCS 70498]

$1,100
$2,786

61% lower than market

Digital tomography of both breasts (screening exam) [HCPCS 77063]

$156
$125

24% higher than market

Elbow x-ray, complete study (minimum of 3 views) [HCPCS 73080]

$274
$502

45% lower than market

Facial CT scan without contrast to examine injury, foreign bodies, or tumors [HCPCS 70486]

$1,100
$2,407

54% lower than market

Finger(s) x-ray (minimum of 2 views) [HCPCS 73140]

$224
$425

47% lower than market

Fluoroscopic guidance for needle placement [HCPCS 77002]

$320
$893

64% lower than market

Foot x-ray (2 views) [HCPCS 73620]

$290
$417

31% lower than market

Foot x-ray, complete study (minimum of 3 views) [HCPCS 73630]

$303
$496

39% lower than market

Hand x-ray (2 views) [HCPCS 73120]

$224
$234

4% lower than market

Hand x-ray (minimum of 2 views) [HCPCS 73130]

$290
$497

42% lower than market

Head and neck ultrasound [HCPCS 76536]

$685
$1,058

35% lower than market

Head or brain CT scan without contrast, followed by contrast to examine injury, foreign bodies, or tumors [HCPCS 70470]

$1,100
$2,829

61% lower than market

Heart ultrasound including color-depicted blood flow rate, direction, and valve function [HCPCS 93306]

$2,832
$2,590

9% higher than market

Hip x-ray of both hips with pelvis (2 views) [HCPCS 73521]

$303
$880

66% lower than market

Hip x-ray of hip with pelvis (2 to 3 views) [HCPCS 73502]

$290
$472

39% lower than market

Hip x-ray of hip with pelvis (single view) [HCPCS 73501]

$224
$318

30% lower than market

Imaging of arm joint by MRI without contrast [HCPCS 73221]

$1,100
$3,105

65% lower than market

Imaging of bone and/or joint (whole body) [HCPCS 78306]

$1,652
$2,919

43% lower than market

Imaging of brain by MRI without contrast [HCPCS 70551]

$1,100
$3,379

67% lower than market

Imaging of heart vessels with SPECT tomography and drugs or exercise (multiple studies) [HCPCS 78452]

$3,534
$6,355

44% lower than market

Imaging of upper spinal canal by MRI without contrast [HCPCS 72141]

$1,100
$3,316

67% lower than market

Joint or other non-blood vessel structure of arm or leg ultrasound (partial) [HCPCS 76882]

$685
$596

15% higher than market

Knee x-ray (1 or 2 views) [HCPCS 73560]

$224
$441

49% lower than market

Knee x-ray (3 views) [HCPCS 73562]

$290
$519

44% lower than market

Knee x-ray (4 or more views) [HCPCS 73564]

$303
$585

48% lower than market

Leg CT scan without contrast for injury, foreign bodies, or tumors [HCPCS 73700]

$1,100
$2,412

54% lower than market

Liver and bile duct system imaging with the use of oral medication [HCPCS 78227]

$1,591
$2,144

26% lower than market

Lower leg x-ray (2 views) [HCPCS 73590]

$224
$487

54% lower than market

Neck CT scan of the soft tissue of the neck with contrast to examine injury, foreign bodies, or tumors [HCPCS 70491]

$1,100
$2,888

62% lower than market

Pelvis CT scan without contrast to examine injury, foreign bodies, or tumors [HCPCS 72192]

$1,100
$2,325

53% lower than market

Pelvis ultrasound, not pregnancy related (limited) [HCPCS 76857]

$685
$1,271

46% lower than market

Pelvis ultrasound, not pregrnancy related (complete) [HCPCS 76856]

$888
$1,389

36% lower than market

Pelvis x-ray (1 or 2 views) [HCPCS 72170]

$303
$452

33% lower than market

Rib cage x-ray of ribs on one side of body including chest (minimum of 3 views) [HCPCS 71101]

$303
$606

50% lower than market

Shoulder x-ray, complete study (minimum of 2 views) [HCPCS 73030]

$292
$504

42% lower than market

Spinal CT scan of lower spine without contrast to examine injury, foreign bodies, or tumors [HCPCS 72131]

$1,100
$2,633

58% lower than market

Spinal CT scan of middle spine without contrast to examine injury, foreign bodies, or tumors [HCPCS 72128]

$1,100
$2,637

58% lower than market

Spinal CT scan of upper spine without contrast to examine injury, foreign bodies, or tumors [HCPCS 72125]

$1,100
$2,700

59% lower than market

Spinal x-ray of lower and sacral spine (2 or 3 views) [HCPCS 72100]

$358
$423

15% lower than market

Spinal x-ray of middle spine (2 views) [HCPCS 72070]

$308
$536

43% lower than market

Spinal x-ray of middle spine (3 views) [HCPCS 72072]

$358
$608

41% lower than market

Spinal x-ray of upper spine (2 or 3 views) [HCPCS 72040]

$358
$531

33% lower than market

Spinal x-ray of upper spine (4 or 5 views) [HCPCS 72050]

$426
$729

42% lower than market

Thighbone x-ray (minimum of 2 views) [HCPCS 73552]

$290
$489

41% lower than market

Ultrasound of area behind abdominal cavity (complete) [HCPCS 76770]

$888
$1,643

46% lower than market

Urinary tract imaging [HCPCS 74420]

$1,023
$3,946

74% lower than market

Wrist x-ray (2 views) [HCPCS 73100]

$224
$450

50% lower than market

Wrist x-ray, complete study (minimum of 3 views) [HCPCS 73110]

$290
$509

43% lower than market

X-ray of sacrum and tailbone (minimum of 2 views) [HCPCS 72220]

$224
$500

55% lower than market

BILLING PROCESS AND INFORMATION

How You Can Help

Thank you for choosing Ohio County Hospital for your healthcare needs. We want to make understanding and paying your bill as easy as possible. Here are some ways you can help us as we work to make 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 Ohio County 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 Ohio County 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 from your hospital visit, including your family doctor, specialists, physicians that read x-rays, providers that give anesthesia, or physicians that interpret 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 Ohio County 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 Billing Department at 270-298-5431.

If you need more information about the price of a future service, please contact our Customer Service at 270-298-5431. A physician’s order or CPT code is strongly encouraged when you call to assist us in providing you with the most accurate estimate. You can obtain the CPT code from the ordering physician.