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General Information
East Liverpool City Hospital maintains billing policies and procedures intended to safeguard the financial well-being of the hospital while taking into account the economic realities of its surrounding community. Efforts are made to bill in full compliance with regulations or guidelines of federal, state, and commercial payors. When balance billing is permissible, patient accounts are subject to progressive collection efforts including the use of collection agencies. However, patients who supply evidence of financial hardship may qualify for payment plans, partial forgiveness, or full forgiveness of account balances. The hospital does not apply interest to account balances.
More information about East Liverpool City Hospital's billing policies is available by contacting the business office at 330-386-2047 or 330-386-2901. Questions may also be submitted by e-mail using the "Contact Us" option on the hospital's website.
Consumers can access a number of government and private Websites, which provide additional information on hospitals' charges and quality. For a complete listing of available online resources, please visit the Consumer's Guide to Quality Health Care in Ohio at http://www.ohanet.org/portal
Patient Price Information List
| ROOM RATES: | LABORATORY: | |||
| Private Med/Surg | $420.00/Day | Activated Partial Thromboplastin Time (APTT) | $34.30 | |
| Semi Private Med/Surg | $409.00/Day | Amylase | $30.40 | |
| Intensive Care | $1,014.00/Day | Basic Metabolic Panel (BMP) | $90.10 | |
| Intermediate Unit (Telemetry) | $648.00/Day | Blood Cultures | $48.10 | |
| Skilled Nursing Unit - Semi Private | $239.00/Day | Blood Urea Nitrogen (BUN) | $30.40 | |
| Skilled Nursing Unit - Private | $256.00/Day | Creative Kinase, Total (CK or CPK) | $30.40 | |
| Obstetrics Room | $420.00/Day | Creative Kinase, Myocardium (CK-MB) | $54.20 | |
| Pediatrics Semi-Private | $400.00/Day | Creatinine | $30.40 | |
| Pediatrics - Private | $415.00/Day | Complete Blood Count (CBC) | $42.10 | |
| Nursery Border | $325.00/Day | Complete Blood Count w/o differential (CBC no diff) | $30.40 | |
| Nursery Newborn | $314.00/Day | Comprehensive Metabolic Panel (CMP) | $99.40 | |
| Complete Urinalysis (UA) Referral | $30.40 | |||
| Differential Manual (MDIFF) Services | $18.40 | |||
| RADIOLOGY: | Erythrocyte Sedimentation Rate (ESR) | $24.00 | ||
| Skull | $137.00 | Glycosylated Hemoglobin (AIC) | $48.10 | |
| Chest | $112.00 | Gram Stain | $19.40 | |
| Ribs | $119.00 | Hemoglobin (HGB) | $18.40 | |
| Abdomen Series | $146.00 | Hematocrit (HCT) | $18.40 | |
| Pelvis | $89.00 | Hepatic Function Panel | $5.30 | |
| Cervical Spine | $160.00 | Lactate Dehydrogenase (LDH) | $30.40 | |
| Thoracic Spine | $156.00 | Lipase | $34.30 | |
| Lumbar Spine | $222.00 | Lipid Panel | $119.80 | |
| Finger | $66.00 | Magnesium (MG) | $43.70 | |
| Hand | $82.00 | Phosphorus (Phos) | $36.00 | |
| Wrist | $80.00 | Pregnancy Test, Qualitative | $60.20 | |
| Elbow | $122.00 | Prothrombin Time (PT) | $30.40 | |
| Forearm | $81.00 | Thyroid Stimulating Hormone (TSH) | $87.80 | |
| Shoulder | $84.00 | Troponin I | $46.50 | |
| Hip Complete | $105.00 | Urine Culture | $48.10 | |
| Knee | $107.00 | Venipuncture Charge | $15.00 | |
| Lower Leg | $79.00 | Ankle | $86.00 | Charge does not include fee for services of pathologist |
| Foot | $86.00 | Please contact MD Billing at 304-387-3000 to obtain these charges | Toe(s) | $101.00 |
| Sinus | $137.00 | Upper GI Series | $303.00 | |
| Intravenous Pyelogram | $289.00 | |||
| Mammogram Screening | $84.00 | |||
| Mammogram - Diagnostic | $182.00 | Emergency Room: | ||
| CT Sinus | $576.00 | Emergency Level I | $84.00 | |
| CT Head | $738.00 | Emergency Level II | $123.00 | |
| CT Chest | $784.00 | Emergency Level III | $222.00 | |
| CT Abdomen | $776.00 | Emergency Level IV | $415.00 | |
| CT Pelvis | $776.00 | Emergency Level V | $608.00 | |
| Cast Room | $84.00 | |||
| Charge does not include fee for services of radiologist | Additional charges for select surgical procedures | $28.00-$387.00 | ||
| Please contact East Liverpool Imaging, Inc at 877-868-2059 ext. 223 to obtain these charges | Charge does not include fee for services of emergency room physician. Please contact Tri-State Emergency Physicians at 877-868-2059 ext. 266 to obtain these charges. | |||
| Surgical Room Time: | Common Speech and Hearing Services: | |||
| Per 30 Minute Increment | $1,313.00 | Assessment Aphasia With Interpretatin and Report | $91.00 | |
| Special Procedure Room per 30 minitures | $1093.00 | Cognitive Skills Development Each 15 minutes | $64.00 | |
| Recovery Room | $657.00 | Dysphagia Evaluation | $173.00 | |
| Evaluation up to 30 minutes | $173.00 | |||
| Additional Charges for Non-Routine Supplies | Evaluation over 30 minutes | $194.00 | ||
| Motion Fluroscopy/Swallow | $192.00 | |||
| Neuro Behavioral Exam with Report | $113.00 | |||
| Swallow Treatment 30 minutes | $112.00 | |||
| Treatment Individual-less than 30 minutes | $81.00 | |||
| Delivery Room: | Treatment Individual-more than 30 minutes | $139.00 | ||
| Labor Room Charge | $849.00 | Typanometry | $39.00 | |
| Vaginal Delivery Charge | $743.00 | |||
| C-Section Charge | $1274.00 | |||
| Recovery Room Charge | $637.00 | |||
| Observation Room per Hour | $17.00 | Respiratory Therapy: | ||
| Aerosol Treatment | $44.00 | |||
| Bronchodilator Challenge | $213.00 | |||
| IPPB Treatment, Initial | $54.00 | |||
| Common Physical Therapy Services: | IPPB Treatment, sebsequent | $44.00 | ||
| Debridement with Tools | $109.00 | Oxygen | $60.00/Day | |
| Electro Stimulation - Unattended | $52.00 | Postural Drainage | $49.00 | |
| Evaluation - Initial | $125.00 | Ventilation MGT, 1st Day | $293.00 | |
| Gait Training - 15 minutes | $57.00 | Ventilation MGT, Subsequent Day | $261.00/Day | |
| Group Treatment I | $57.00 | |||
| Iontophoresis - 15 minutes | $68.00 | |||
| Jobst Pump - 1 hour | $56.00 | |||
| Light Therapy | $44.00 | |||
| Manual Therapy Techniques - 15 minutes | $52.00 | East Liverpool City Hospital maintains billing policies and procedures intended | ||
| Massage - 15 minutes | $52.00 | to safeguard the financial well-being of the hospital while taking into account the economic realities | ||
| Neuromuscular Reeducation, Movement, Balance - 15 minutes | $57.00 | of its surrounding community. Efforts are made to bill in full | ||
| Physical Therapy Reevaluation | $81.00 | compliance with the regulations or guidelines of federal, state, and commercial payers. | ||
| Therapeutic Exercise 1 more area 15 minutes | $57.00 | When balance billing is permissible, patient accounts are subject to progressive collection efforts including | ||
| Therapeutic Activities 15 minutes | $47.00 | the use of collection agencies. However, patients who supply evidence of financial hardship | ||
| Ultrasound | $50.00 | may qualify for payment plans, partial forgiveness, or full forgiveness of account balances. | ||
| Whirlpool/Fluido Therapy | $52.00 | The hospital does not apply interest to account balances. | ||
| More information about East Liverpool City Hospital's billing policies is available by | ||||
| Common Occupational Therapy Services: | contacting the Business Office at 330-386-2901 or 330-386-2047. Questions may also | |||
| Cognitive Skills Development 15 minutes | $68.00 | be submitted by email using the "Contact Us" option on the hospital's web site. | ||
| Community/Work Reintegration 15 minutes | $34.00 | |||
| Electro Stimulation - Unattended | $52.00 | |||
| Evaluation 20 minutes | $102.00 | |||
| Evaluation 21 - 40 minutes | $114.00 | |||
| Evalutation 41 - 60 min | $125.00 | |||
| Group Treatment I | $57.00 | |||
| Jobst Pump 1 hour | $56.00 | |||
| Manual Therapy Techniques | $52.00 | |||
| Neuromuscular Reeducation, Movement, Balance | $57.00 | |||
| Occupational Therapy Reevaluation | $81.00 | |||
| Paraffin Bath | $52.00 | |||
| Self-care/Home Management Training 15 minutes | $62.00 | |||
| Sensory Integration Techniques - 15 minutes | $62.00 | |||
| Splint, Finger Dynamic Application | $198.00 | |||
| Splint, Finger Static Application | $198.00 | |||
| Splint, Long Arm Application | $198.00 | |||
| Splint, Short Arm Dynamic Application | $198.00 | |||
| Therapeutic Exercise 1 More Area 15 minutes | $57.00 | |||
| Therapeutic Activities | $47.00 | |||
| Whirlpool/Fluido Therapy | $52.00 | |||
| Charge does not include fees for services of physicians. | ||||
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