Monday, May 20, 2013
   
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Procedure Pricing

In Compliance with state law, Lake Health is providing this price list containing our charges for room and board, emergency department, operating room, delivery, physical therapy and other procedures. Lake Health's charges are the same for patient's for with or without medical insurance. Patient's responsibility may vary, depending on their individual medical insurance. Uninsured or underinsured patients should consult with hospital billing staff to determine if they qualify for financial assistance.
*These prices are correct as of January 1,2012
 
ROOM AND BOARD COST .... ROOM AND BOARD COST
Room Rate 1,050.00   Nursery 820.00
Intensive Care 4,380.00   Labor and Delivery Room 1,050.00
Cardio-Thoracic Surgical ICU 5,370.00      
 
RADIOLOGY COST   RADIOLOGY COST
Prices for common radiological procedures are:
XR Dexa Bone Density Study 530.00   US Abdomen Limited (Organ/Quad) 900.00
CT ABD Pelvis with Contrast 5,220.00   US Breast LT 700.00
CT Angio Chest WO W Post Process 3,740.00   US OB <14 WK 840.00
CT Brain without Contrast 2,040.00   XR Abdomen KUB 270.00
CT Chest with Contrast 2,480.00   CR Chest (2 views) 410.00
MM DDI DIAG MAMM BI 410.00   XR Foot LT Min (3 views) 370.00
MM DDI Screening MAMM 410.00   XR Shoulder LT min (2 views) 370.00
MRI Brain 3,230.00   XR UGI with KUB 730.00
 
LABORATORY COST   LABORATORY COST
Prices for common laboratory procedures are:
Antibody Screen 120.00   Hepatic Function Panel 140.00
CBC platelet w/auto diff 120.00   Lipid Profile 190.00
Basic Metabolic Panel 120.00   Magnesium 90.00
Bilirubin-Total 30.00   (PTT) Incubated 90.00
Blood Culture 150.00   Potassium 40.00
Carbon Dioxide 30.00   Protime 70.00
Chloride 30.00   Sensitivity Study 120.00
Comprehensive Metabolic Panel 170.00   Gram Stain 40.00
Creatine Kinase (CK) 70.00   Sodium 40.00
Crossmatch 90.00   Specimen Collection Fee 20.00
Glucose 40.00   Urinalysis w/ Microscope 70.00
Hematocrit 40.00   Urine Culture

70.00

Hemoglobin 30.00
 
EMERGENCY ROOM SERVICES COST   EMERGENCY ROOM SERVICES COST
The prices for basic emergency room services are as follows:
ER Level 1 370.00   ER Level 4 1,180.00
ER Level 2 460.00   ER Level 5 1,890.00
ER Level 3 800.00   ER Level 6 2,020.00
 
OPERATING ROOM SERVICES COST      
OR LEVEL 1 1,210.00      
OR LEVEL 2 - 1ST HOUR 3,080.00      
OR LEVEL 2 - ADDNL HOUR(S) 390.00      
OR LEVEL 3 5,460.00      
OR LEVEL 3 - ADDNL HOUR(S) 390.00      
OR LEVEL 4 7,850.00      
OR LEVEL 4 - ADDNL HOUR(S) 630.00      
 
THERAPY SERVICES COST   THERAPY SERVICES COST
Prices for the most common physical therapy services are:
Traction 140.00   PT Evaluation OP 200.00
Manual Therapy/Mobilization 110.00   Therapeutic Exercise - 15 minutes 140.00
NeuroMuscular Re-education 120.00   Ultrasound - 15 Minutes 110.00
 
OCCUPATIONAL THERAPY COST   OCCUPATIONAL THERAPY COST
Prices for the most common occupational therapy services are:
OT Evaluation OP 200.00   O/T Cognitive Training - 15 Minutes 100.00
 
PULMONARY THERAPY COST   PULMONARY THERAPY COST
Prices for the most common pulmonary therapy procedures are:
Aerosol Treatment 60.00   IPPB Treatment Initial 90.00
Arterial Puncture 80.00   Mechanical Ventilator 690.00
Blood Gas Kit 50.00   Oxygen Initial 120.00
Chest Physiotherapy/Clap Initial 90.00   Suction Procedure 40.00
Inhaler Initial 140.00      
 
All charges are subject to change without notice.
Patients may have additional charges depending on the service performed.

These charges do not include fees for the services of hospital based anesthesiologist, radiologist, pathologist, and emergency room physicians.
 
Please contact the following for billing information:
Anesthesia
Anesthesia Associates
(440) 350-0832
    Pathology
Drs. Hill & Chapnick
(440) 274-5035
 
 
Radiology
Drs. Hill & Thomas, Co.
1-800-366-0883
    Emergency Room Physician
Erie banks Emergency Physicians
1-800-355-2470
 
 
Hospital Charges
Lake Health
(440) 354-1640
    Urgent Care
Physician
(440) 274-5035
 
 
Lake Health
Physician Group
(800) 354-1985
       
 
Lake Health Self Pay Policy
It is the policy of Lake Health that the patients will be treated fairly and with respect regardless of their ability to pay for the services they received. To provide counseling to all uninsured patients, including help in understanding and applying for local, state and federal health care programs such as Medicaid and HCAP. To describe to patients without any third party healthcare coverage (governmental or private) that they may apply for charge reductions through the Lake Hospital Uninsured Charity Care Program. To establish reasonable, interest free payment plans.

Lake Health Locations

TriPoint Medical Center Willowick Campus
West Medical Center Tyler Urgent Care Center
Mentor Campus Chardon Campus
Madison Campus Madison Emergency Department
Painesville Quick Care Center Clinic at Middlefield
Clinic at Madison Willoughby Physical Therapy
Lyndhurst Diagnostics Mentor Physical Therapy
Mentor Diagnostics Willoughby Hills Diagnostics
   

Contact Information

TriPoint 440-375-8100 Customer Satisfaction 877-953-6265
West 440-953-9600 Social Work 440-953-6195
Best of Health 800-454-9800 Safety Hotline 440-602-6428
Billing/Patient 440-953-6012 Gift Shops 440-953-6166
Foundation 440-354-1900 Human Resources 440-354-1981
Centralized Scheduling 866-652-5253