Patient Pricing Information

In compliance with state law, UH Parma Medical Center is providing this price list containing our charges for room and board, emergency department, operating room, delivery, physical therapy and other procedures. The hospital's charges are 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 prices are correct as of January 1, 2019.

Room & Bed (Semi-private Two Beds) - Per Day Charges

Medical/Surgical/GYN

Service Charge

$2,158Semi Private OB/GYN Room Rate 121

$1,778Semi Private Room Rate 121

$1,778Semi Private Room Rate 121

$1,778Semi Private Room Rate 121

$1,778Semi Private Room Rate 121

$1,778Semi Private Room Rate 121

$1,778Semi Private Room Rate 121

$1,778Semi Private Room Rate 121

Psychiatric

Service Charge

$1,778Semi Private Room Rate 124

Rehabilitation

Service Charge

$1,778Semi Private Room Rate Rehab 128

Intensive Care

Intermediate intensive care unit (ICU)

Service Charge

$2,662ICU Stepdown / Tele Room Rate 206

$2,662ICU Stepdown / Tele Room Rate 206

$2,662ICU Stepdown / Tele Room Rate 206

Medical

Service Charge

$3,749ICU Room Rate 201 202 208 210

$3,749ICU Room Rate 201 202 208 210

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Laboratory Charges

The following charges reflect the most common tests offered by our Laboratory Department.

Bacteriology and Microbiology

Service Charge

$122Antigen bact single (GASAG)

$414CMV DNA by CMV LC PCR

$40Concentrtn any type infect agents(CONC)

$214Culture bacterl bld aerobic (BLDNB)(BLDC)

$180Culture bactrl excpt bld anrobic (ANAER)(

$90Culture fungi definitive id ea org mold (YIDMD)(IDMLD)

$83Culture fungi ID (YIDYT)(IDYST)

$85Culture ID aerobic (IDAER)

$185Culture other source(FLUID)(GENLO)(CSF)(BBANK)(BMILK)(GENP)

$164Culture presump scrng (GBSCR)(GCSCR)(HROSC)(SCRN)(VRESC)(GAS

$179Culture urine CC (URINC)

$333EBV DNA ultraquant(EBVQ2)(EBPWB)(EBPPL)

$55Fecal leukocyte exam (LEUKF)

$115Fungal smear(FUNSM)(CALCO)CALCF)

$179Fungl cultre skin/hair/nail(FUND)(YBILL)(FUNSK)

$240GC amplified detection (GCAM)(GCAMP)

$69Gram/giemsa stain (GRAMO)(GS)

$575HLA class I/class II AB screen (HLA2S)(HLA1S)

$144Influenza A or B AG EA EIA

$144Influenza A or B AG EA EIA

$258Legionella AG urine (LEGUR)

$119Microscan ID and susc (SUSM)

$142Rapid strep A

$58Rapid Strep in ER

$58Rapid Strep in ER

$74Susceptibility E test (ET1)(DFUN1-5)

$87Trichomonas Wet Preparation

$87Trichomonas Wet Preparation

$82Wet mount (WETPR) ((IODST)

Chemistry

Service Charge

$282ABG any combo pH/pCO2/pO2/CO2/HCO3(BLGA1 BLGV1 BLMV1)

$174Basic metabolic panel

$376Calcifediol 25-OH vitamin D-3

$130Calcium ionized

$130Calcium ionized

$130Calcium ionized

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$281Comprehensive metabolic panel

$277Estradiol (ESTRA)

$223Ferritin

$248FK506 single step (FK506)

$490Flow cytometry DNA analysis (FLALL)(FLAUT)(HFCXM)

$150Haptoglobin quantitative

$78Helicobacter pylori drug admin/sample collect

$127Hemoglobin A1C+

$127Hemoglobin A1C+

$162Hemoglobin glycated A1C(GLYCO)(HBA1C)

$162Hemoglobin glycated A1C(GLYCO)(HBA1C)

$201Hepatic function panel

$94Iron

$94Iron

$110Lactate

$203Lipid panel

$98Magnesium

$98Magnesium

$27Occult blood gastric fluid (OCCGA)

$267Renal function panel

$47Stool Guaiac (OCCBL)(OCCB1)

$194Thyroid TSH (TSH2) (TSHH2)

$52Thyroxine free T4

$62Triodothyronine (T3) (T3NIC)

$190Troponin quant

$157Vitamin B-12

General Classification

Service Charge

$71Benzodiazepines Conf,Urine (BENCN)

$36Bilirubin total transcutaneous

$36Blood glucose using device

$36Blood glucose using device

$47Glucose blood glucometer

$47Glucose blood glucometer

$47Glucose blood glucometer

$47Glucose blood glucometer

$103Hemoglobin A1C test

$530HLA Class I SP Antibody Identification, High Definition

$494HLA Class II SP Antibody Identification, High Definition

$387HPV DNA bu PCR high risk types

$71Opiates Confirm,U (OPIC2)

$33POC Glucose (GLUPO)

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$73Skin test tuberculosis intradermal

$73Skin test tuberculosis intradermal

$81Urinalysis auto wo microscopy

$81Urinalysis auto wo microscopy

$38Urinalysis dipstick tablet rgt wo micro

$38Urinalysis dipstick tablet rgt wo micro

$69Urine pregnancy test visual color (HCGU)

$69Urine pregnancy test visual color (HCGU)

$69Urine pregnancy test visual color (HCGU)

$69Urine pregnancy test visual color (HCGU)

$69Urine pregnancy test visual color (HCGU)

$21Venipuncture VENI

$21Venipuncture VENI

$21Venipuncture VENI

$21Venipuncture VENI

$21Venipuncture VENI

Hematology

Service Charge

$109APTT (APTT) (APTTH)

$162Coagulation time activated

$162Coagulation time activated

$129Complete CBC auto (CBC1 CBC1H CBCC1 CBCPI CBCI)

$138Complete CBC auto with auto diff

$138Complete CBC auto with auto diff

$109Prothrombin time

Immunology

Service Charge

$140AB screen RBC ea serum tech

$327Antibody Identification

$80Blood typing ABO

$47Blood typing antigen test donor bld

$47Blood typing antigen test donor bld

$73Blood typing RH D

$137C reactive protein

$137C reactive protein

$163Crossmatch antiglobulin (XMAHG)

$123Direct antiglobulin test -poly

$203Freeze crossmatch(HLFXM)

Urology

Service Charge

$47UA non auto wo micro

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$131Urinalysis auto w/microscopy(UAMC2)(UAM2

$131Urinalysis auto w/microscopy(UAMC2)(UAM2

Radiology-Therapeutic Charges

Chemotherapy Administration-Injected

Service Charge

$1,697Chemo CNS intrathecal w/lumbar punc

$1,697Chemo CNS intrathecal w/lumbar punc

$1,697Chemo CNS intrathecal w/lumbar punc

$623Chemo SC/IM hormonal

$623Chemo SC/IM hormonal

$623Chemo SC/IM non-hormonal

$623Chemo SC/IM non-hormonal

Chemotherapy Administration-IV

Service Charge

$1,382Chemo IV addl sequent'l infuse up to 1hr

$1,382Chemo IV addl sequent'l infuse up to 1hr

$468Chemo IV ea add'l hr

$468Chemo IV ea add'l hr

$468Chemo IV ea add'l hr

$849Chemo IV up to 1 hr - 1st drug

$849Chemo IV up to 1 hr - 1st drug

$729IV push each add'l chemo drug

$729IV push each add'l chemo drug

$729IV push first chemo drug

$729IV push first chemo drug

Radiation Therapy

Service Charge

$6,8533D Simulation

$940Basic radiation dose calculation

$846Continuing medical physics consultation

$1,530Daily treatment management complex

$436Guidance for localization of target volume

$5,329IMRT complex includes guidance and tracking

$4,072IMRT simple includes guidance and tracking

$518Radiation therapy dosimetry plan

$256Therapeutic radiology port film(s)

$3,535Therapeutic radiology simulation-aided f

$1,888Therapeutic radiology simulation-aided field setting; simple

$2,235Treatment devices design and constructi

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Nuclear Medicine Charges

Diagnostic

Service Charge

$2,683Bone imaging whole body

$1,418Gastric emptying study

$1,954Hepatobiliary Syst Imag includ gallbladder if present

$2,321Hepatobiliary Syst Imag includ gallbladder if present w/phar

$7,112Myo perf spect st/rest w/wall & ef

$2,599Pulmonary ventilation and perfusion imaging

Computed Tomographic (CT) Scan Charges

Body

Service Charge

$3,484CT abdomen and pelvis w/contrast material(s)

$3,380CT abdomen and pelvis w/o contrast material

$2,193CT Cervical spine wo contrast

$2,441CT Chest w contrast

$2,424CT Lumbar spine wo contrast

General

Service Charge

$2,123CT Chest wo contrast

$3,005CTA Chest w wo contrast

Head

Service Charge

$1,756CT Head wo contrast

$1,821CT Maxillofacial area wo cont

Operating Room Charges

The following charges are based on level of complexity, with Level 6 being most complex. There is an initial charge, a set-up charge and a per minute-based charge. Anesthesia and drug charges are not included. Also, surgeon fees are not included.

General

Service Charge

$2,600Bronch w/lung bx(s) sngl lobe

$3,354Bronchoscopy diagnostic

$2,740Bronchoscopy w Endobronchial US periphral lesions

$5,481Bronchoscopy w Endobronchial US sample 1-2 nodes

$5,481Bronchoscopy w Endobronchial US sample 3 nodes or greater

$1,761Cervical or thoracic second level

$2,860Diag bronchoscopy w/lavage

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$8,484Endovenous ablation therapy radiofrequency first vein treate

$1,602Epidural blood patch

$1,602Epidural blood patch

$2,212Epidural/subarachnoid injection cervical/thoracic w/imageGui

$1,925Epidural/subarachnoid injection lumbar/sacral With image Gu

$478I&D abscess simple/single

$478I&D abscess simple/single

$606Inj proc antegrad nephro/uretero/imag guide existing access

$606Inj proc antegrad nephro/uretero/imag guide existing access

$606Inj proc antegrad nephro/uretero/imag guide existing access

$697Inject sclerosing solution single vein

$416Laryngoscopy diagnostic

$416Laryngoscopy diagnostic

$416Laryngoscopy diagnostic

$780Major bursa joint injection (e.g.;shoulder, hip, knee)

$780Major bursa joint injection (e.g.;shoulder, hip, knee)

$0Misc Procedure in PACU

$1,227OR complexity 1 base rate

$61OR complexity 1 per minute

$1,842OR complexity 2 base rate

$75OR complexity 2 per minute

$2,406OR complexity 3 base rate

$93OR complexity 3 per minute

$3,127OR complexity 4 base rate

$99OR complexity 4 per minute

$3,909OR complexity 5 base rate

$111OR complexity 5 per minute

$4,775OR complexity 6 base rate

$116OR complexity 6 per minute

$1,761Paravertabral facet injection lvl 2

$2,250Paravertabral facet injection single

$2,702Place uret stent perc inclnephro/ureterow/imag guid via exis

$2,702Place uret stent perc inclnephro/ureterow/imag guid via exis

$2,702Place uret stent perc inclnephro/ureterow/imag guid via exis

$4,306Select cath abd/pel init 3rd order

$2,522Select cath art int 2nd order

$1,265Spinal puncture lumbar diag

$1,265Spinal puncture lumbar diag

$1,265Spinal puncture lumbar diag

$1,265Spinal puncture lumbar diag

$1,265Spinal puncture lumbar diag

$1,265Spinal puncture lumbar diag

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$1,265Spinal puncture lumbar diag

$1,265Spinal puncture lumbar diag

$1,265Spinal puncture lumbar diag

$1,265Spinal puncture lumbar diag

$1,265Spinal puncture lumbar diag

$1,265Spinal puncture lumbar diag

$1,265Spinal puncture lumbar diag

$1,265Spinal puncture lumbar diag

$1,265Spinal puncture lumbar diag

$1,265Spinal puncture lumbar diag

$2,075Thoracentesis for aspiration

$2,075Thoracentesis for aspiration

$2,075Thoracentesis for aspiration

$2,075Thoracentesis for aspiration

$2,075Thoracentesis for aspiration

$2,075Thoracentesis for aspiration

$2,075Thoracentesis for aspiration

$2,075Thoracentesis for aspiration

$2,075Thoracentesis for aspiration

$2,075Thoracentesis for aspiration

$2,075Thoracentesis for aspiration

$2,075Thoracentesis for aspiration

$2,075Thoracentesis for aspiration

$2,075Thoracentesis for aspiration

$1,411Thoracentesis with insert tube (pneumothor

$1,411Thoracentesis with insert tube (pneumothor

$1,411Thoracentesis with insert tube (pneumothor

$1,411Thoracentesis with insert tube (pneumothor

$1,411Thoracentesis with insert tube (pneumothor

$1,411Thoracentesis with insert tube (pneumothor

$1,411Thoracentesis with insert tube (pneumothor

$1,411Thoracentesis with insert tube (pneumothor

$1,411Thoracentesis with insert tube (pneumothor

$1,411Thoracentesis with insert tube (pneumothor

$1,411Thoracentesis with insert tube (pneumothor

$1,411Thoracentesis with insert tube (pneumothor

$1,487Transforaminal level lumbar/sacral

$1,410Tube thoracostomy (eg for abscess, hemothorax, empyema)

$1,410Tube thoracostomy (eg for abscess, hemothorax, empyema)

$1,410Tube thoracostomy (eg for abscess, hemothorax, empyema)

$1,410Tube thoracostomy (eg for abscess, hemothorax, empyema)

$1,410Tube thoracostomy (eg for abscess, hemothorax, empyema)

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$1,410Tube thoracostomy (eg for abscess, hemothorax, empyema)

$1,410Tube thoracostomy (eg for abscess, hemothorax, empyema)

$1,410Tube thoracostomy (eg for abscess, hemothorax, empyema)

$1,410Tube thoracostomy (eg for abscess, hemothorax, empyema)

$1,410Tube thoracostomy (eg for abscess, hemothorax, empyema)

$1,410Tube thoracostomy (eg for abscess, hemothorax, empyema)

$1,410Tube thoracostomy (eg for abscess, hemothorax, empyema)

$1,410Tube thoracostomy (eg for abscess, hemothorax, empyema)

Anesthesia Charges

General

Service Charge

$280Anesthesia Tech Base Rate

$20Anesthesia Tech Per Minute

$910General anesthesia < 5yrs 1st 15 minutes

$648General anesthesia > 5yrs 1st 15 minutes

$69General anesthesia each addl 15 minutes

$69Mod sedat different prov from proc ea addl 15 min

$69Mod sedat different prov from proc ea addl 15 min

$69Mod sedat different prov from proc ea addl 15 min

$69Mod sedat different prov from proc ea addl 15 min

$69Mod sedat different prov from proc ea addl 15 min

$69Mod sedat different prov from proc ea addl 15 min

$69Mod sedat different prov from proc ea addl 15 min

$69Mod sedat different prov from proc ea addl 15 min

$69Mod sedat different prov from proc ea addl 15 min

$69Mod sedat different prov from proc ea addl 15 min

$69Mod sedat different prov from proc ea addl 15 min

$648Mod sedat different prov from proc init 15 min < 5 yrs old

$648Mod sedat different prov from proc init 15 min < 5 yrs old

$648Mod sedat different prov from proc init 15 min < 5 yrs old

$648Mod sedat different prov from proc init 15 min < 5 yrs old

$648Mod sedat different prov from proc init 15 min < 5 yrs old

$648Mod sedat different prov from proc init 15 min < 5 yrs old

$648Mod sedat different prov from proc init 15 min < 5 yrs old

$660Mod sedat different prov from proc init 15 min >5 yrs old

$660Mod sedat different prov from proc init 15 min >5 yrs old

$660Mod sedat different prov from proc init 15 min >5 yrs old

$660Mod sedat different prov from proc init 15 min >5 yrs old

$660Mod sedat different prov from proc init 15 min >5 yrs old

$660Mod sedat different prov from proc init 15 min >5 yrs old

$660Mod sedat different prov from proc init 15 min >5 yrs old

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$660Mod sedat different prov from proc init 15 min >5 yrs old

$660Mod sedat different prov from proc init 15 min >5 yrs old

$660Mod sedat different prov from proc init 15 min >5 yrs old

$660Mod sedat different prov from proc init 15 min >5 yrs old

$70Mod sedat same prov perf proc ea addl 15 min

$70Mod sedat same prov perf proc ea addl 15 min

$70Mod sedat same prov perf proc ea addl 15 min

$70Mod sedat same prov perf proc ea addl 15 min

$70Mod sedat same prov perf proc ea addl 15 min

$70Mod sedat same prov perf proc ea addl 15 min

$70Mod sedat same prov perf proc ea addl 15 min

$70Mod sedat same prov perf proc ea addl 15 min

$70Mod sedat same prov perf proc ea addl 15 min

$70Mod sedat same prov perf proc ea addl 15 min

$70Mod sedat same prov perf proc ea addl 15 min

$70Mod sedat same prov perf proc ea addl 15 min

$70Mod sedat same prov perf proc ea addl 15 min

$660Mod sedat same prov perf proc init 15 min > 5 yrs old

$660Mod sedat same prov perf proc init 15 min > 5 yrs old

$660Mod sedat same prov perf proc init 15 min > 5 yrs old

$660Mod sedat same prov perf proc init 15 min > 5 yrs old

$660Mod sedat same prov perf proc init 15 min > 5 yrs old

$660Mod sedat same prov perf proc init 15 min > 5 yrs old

$660Mod sedat same prov perf proc init 15 min > 5 yrs old

$660Mod sedat same prov perf proc init 15 min > 5 yrs old

$660Mod sedat same prov perf proc init 15 min > 5 yrs old

$660Mod sedat same prov perf proc init 15 min > 5 yrs old

$660Mod sedat same prov perf proc init 15 min > 5 yrs old

$660Mod sedat same prov perf proc init 15 min > 5 yrs old

$660Mod sedat same prov perf proc init 15 min > 5 yrs old

$660Mod sedat same prov perf proc init 15 min > 5 yrs old

$660Moderate sedation gastrointestinal endoscopic init 15min

$660Moderate sedation gastrointestinal endoscopic init 15min

Blood & Blood Component (Admin, Proc, Storage) Charges

Administration (e.g., Transfusions)

Service Charge

$884Transfusion bld products on nursing unit

$884Transfusion bld products on nursing unit

$884Transfusion bld products on nursing unit

$884Transfusion bld products on nursing unit

$884Transfusion bld products on nursing unit

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$1,300Transfusion blood product

$1,300Transfusion blood product

General Classification

Service Charge

$286Plasma

$2,833Plate pheres leukoredu irrad

$2,823Platelet apheresis Leukoreduced

$1,446Platelets pheresis

$1,446Platelets pheresis

$1,181RBC leukocytes reduced

$1,191RBC leukoreduced irradiated

Other Imaging Charges

Diagnostic Mammography

Service Charge

$80Digital breast tomosynthesis bilateral

$80Digital breast tomosynthesis bilateral

$64Digital breast tomosynthesis unilateral

$64Digital breast tomosynthesis unilateral

$696Digital mammography bilateral including CAD

$497Digital mammogrphy unilateral including CAD

Positron Emission Tomography

Service Charge

$6,887PET brain metastic tumor FDG Meth

$6,916PET image w/concurrent CT skull-mid thigh

$6,887PET Imaging Brain Alzheimers

$5,232PET imaging limited area

Screening Mammography

Service Charge

$504Digital screening mammography with CAD

$78Screening digital breast tomosynthesis bilateral

$78Screening digital breast tomosynthesis bilateral

Ultrasound

Service Charge

$763Fetal biophysical profile without non-stress testing

$226OB Ultrasound (L&D)

$840Transvaginal pregnant uterus

$546U/S Encephalography

$626Ultrasound Elastography add on code

$653Ultrasound Pregnant Uterus First Trimester Single or First

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$1,109US abdomen complete

$849US abdomen limited

$849US abdomen limited

$676US breast(s) unilateral incl axilla limited

$676US breast(s) unilateral incl axilla limited

$728US guidance for vasculr access

$1,064US Guide-Needle Placement

$1,064US Guide-Needle Placement

$1,064US Guide-Needle Placement

$1,064US Guide-Needle Placement

$1,064US Guide-Needle Placement

$1,064US Guide-Needle Placement

$1,064US Guide-Needle Placement

$1,064US Guide-Needle Placement

$679US Pelvic (Non-Ob) Limited eg for follicles

$679US Pelvic (Non-Ob) Limited eg for follicles

$963US pelvic non ob complete

$832US Preg uterus up to 1st trimstr

$661US pregnant uterus limited

$661US pregnant uterus limited

$642US Pregnant uterus real w/image

$963US retroperitoneal complete

$874US Scrotum

$877US Soft Tissues-Head/Neck(Thy)

$974US Transvaginal

$1,158USpreg uterus rltime wi image dtl fetal

Respiratory Therapy Charges

General

Service Charge

$163Aerosol demo/eval includes initial treatment

$432Aerosol pentamidine

$432Aerosol pentamidine

$432Aerosol pentamidine

$301Airway Clearance Initial demo/eval

$218Airway Clearance Subsequent

$135Arterial puncture for ABG by RT

$135Arterial puncture for ABG by RT

$820BIPAP

$218Chest physiotherapy non CF

$218Cough Assist Device

$218EZ PAP

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$109Inhalation treatment by ED staff

$218Internal transport by RT

$1,639Ventilation Assist Init Day IP/Observation

$1,138Ventilat'n Assist ea Subsqnt Day IP/Obsv

$237Vest Therapy

Hyperbaric Oxygen Therapy

Service Charge

$734HBO2 Tx per 30 min

Physical Therapy Charges

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

Evaluation or Re-Evaluation

Service Charge

$375IRF PT Evaluation: high complexity

$375IRF PT Evaluation: low complexity

$375IRF PT Evaluation: moderate complexity

$311PT Evaluation: high complexity

$311PT Evaluation: low complexity

$311PT Evaluation: moderate complexity

Occupational Therapy Charges

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

Evaluation or Re-Evaluation

Service Charge

$375IRF OT evaluation: high complexity

$375IRF OT evaluation: low complexity

$375IRF OT evaluation: moderate complexity

$375OT evaluation: high complexity

$375OT evaluation: low complexity

$375OT evaluation: moderate complexity

$210OT Re-eval

Speech Language Pathology Charges

Evaluation or Re-Evaluation

Service Charge

$270Eval of speech production brief

$416Eval of speech sound lang comprehen

$308Eval of speech sound lang comprehen brief

$524IRF ST Eval of speech sound lang comprehen

$301Limited clinical swallow eval

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Emergency Deparment Charges

The following charges reflect the level of emergency care provided to our patients. The levels of care represent basic emergency care, starting with Level 1. Ancillary, drug and supply charges are not included. Also, physician fees are not included.

General Classification

Service Charge

$308Emergency Department E&M Level 1

$505Emergency Department E&M Level 2

$842Emergency Department E&M Level 3

$1,322Emergency Department E&M Level 4

$2,077Emergency Department E&M Level 5

$408Simpl repair scalp/neck/axil/ext/trunk 2.5cm/<

Pulmonary Therapy Charges

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

General Classification

Service Charge

$2,579Cardiopulmonary exercise testing including measurements

$2,579Cardiopulmonary exercise testing including measurements

$168Demo/eval of inhalation device CP rehab

$567DLCO Diffusing Capacity

$567DLCO Diffusing Capacity

$388End Tidal CO2

$447Gas dilution for lung volume

$447Gas dilution for lung volume

$426Lung Volume Plethysmography

$426Lung Volume Plethysmography

$218Nitric Oxide Expired gas determination

$672Pre//Post Spirometry

$130Pulmonary Adl/Exercise Educ ea 15 min

$930Pulmonary stress testing (6 minute walk test)

$930Pulmonary stress testing (6 minute walk test)

$930Pulmonary stress testing (6 minute walk test)

$930Pulmonary stress testing (6 minute walk test)

$137Pulse ox single determination

$137Pulse ox single determination

$137Pulse ox single determination

$137Pulse ox single determination

$137Pulse ox single determination

$137Pulse ox single determination

$356Pulse Oximetry cont overnight monitor

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$356Pulse Oximetry cont overnight monitor

$338Pulse oximetry O2 saturation multiple determinations

$338Pulse oximetry O2 saturation multiple determinations

$338Pulse oximetry O2 saturation multiple determinations

$338Pulse oximetry O2 saturation multiple determinations

$338Pulse oximetry O2 saturation multiple determinations

$338Pulse oximetry O2 saturation multiple determinations

$338Pulse oximetry O2 saturation multiple determinations

$338Pulse oximetry O2 saturation multiple determinations

$574Spirometry

$574Spirometry

Audiology Charges

Diagnostic

Service Charge

$988Auditory evoke potential complete

$149Complete acoustic immittance testing

$292Complete audion evaluation

$83Conformity Evaluation each

$1,201Electrode stilm intra op

$186Evokd otoacous emissns ltd

$435F/U coch reprog >/= 7yrs 60min

$127Immittance

$92Pure tone screen

$92Pure tone screen

$212Visual reinforcement audio

Cardiology Charges

The following charges reflect the most common services offered by our Cardiology Department. Patients may have additional charges depending upon the services performed.

Cardiac Cath Laboratory

Service Charge

$13,806Combined rt heart cath and retrograde lt heart cath

$15,704Dual chamber perm pacemaker w/transvenous electrodes

$23,748LHC with LV pressure or gram

General Classification

Service Charge

$2,034Cardiovascular functn eval w/tilt table

$2,100Cardioversion external in Cath Lab

$2,100Cardioversion external in Cath Lab

$2,413Cardioversion External OR/Nurse Unit

$2,413Cardioversion External OR/Nurse Unit

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$2,413Cardioversion External OR/Nurse Unit

$2,413Cardioversion External OR/Nurse Unit

$2,413Cardioversion External OR/Nurse Unit

$2,413Cardioversion External OR/Nurse Unit

$2,413Cardioversion External OR/Nurse Unit

$2,413Cardioversion External OR/Nurse Unit

$2,413Cardioversion External OR/Nurse Unit

$2,413Cardioversion External OR/Nurse Unit

$2,413Cardioversion External OR/Nurse Unit

$2,413Cardioversion External OR/Nurse Unit

$2,413Cardioversion External OR/Nurse Unit

$579Doppler color flow mapping add-on

$707Doppler echocardiography complete

$468Doppler echocardiography follow-up/limited

$2,704Echo real time complete w/spectral

$891Echocardiograph transthoracic 2D limited

$891Echocardiograph transthoracic 2D limited

$2,962Echocardiography during stress test

$780ICM/ILR remote tech serv

$780ICM/ILR remote tech serv

$10,426Implantation of patient-activated cardiac event recorder

$12,424Intracardiac electrophysiolgc 3D mapping

$156Myocardial Strain Imaging

$182PAD supervised exercise session

$1,362Placement occlusive device eg angio

$1,362Placement occlusive device eg angio

$338PM device progr eval dual

$338PM device progr eval dual

$234PM/ICD remote tech serv

$234PM/ICD remote tech serv

$2,756Transesophageal Echo Complete

$2,756Transesophageal Echo Complete

$1,274TTE for cong abnormality limited

$891TTE real time image 2d with contrast includes m mode follow

$2,704TTE real time w image 2D w/contrast

$1,820Tte real time w image 2d with contrast includes m mode compl

$2,962TTE w/ contrast plus stress echo

Stress Test

Service Charge

$1,144Cardiac stress test

$1,144Nuclear Exercise Stress Test

$1,144Nuclear Pharmacological Stress Test

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Clinic Charges

General Classification

Service Charge

$1044 Week Program

$122EP Visit level 3 HHVI

$138EP Visit level 4 HHVI

$154EP Visit level 5 HHVI

$104HemOnc Est Patient Level 1

$104HemOnc Est Patient Level 1

$112HemOnc Est Patient Level 2

$112HemOnc Est Patient Level 2

$122HemOnc Est Patient Level 3

$122HemOnc Est Patient Level 3

$138HemOnc Est Patient Level 4

$138HemOnc Est Patient Level 4

$154HemOnc Est Patient Level 5

$154HemOnc Est Patient Level 5

$122HemOnc New Patient Level 3

$122HemOnc New Patient Level 3

$138HemOnc New Patient Level 4

$138HemOnc New Patient Level 4

$154HemOnc New Patient Level 5

$154HemOnc New Patient Level 5

$60HemOnc nurse practitioner visit

$133Med ep prev medicine 1 to 4 yrs old

$165Med ep prev visit 18-39 years old

$165Med ep preventative visit 40-64 yrs old

$165Med np preventative visit 18-39 years old

$165Med np preventative visit 40-64 yrs old

$138NP Med level 2 visit

$138NP Med level 2 visit

$122NP Med level 3 visit

$122NP Med level 3 visit

$220NP Med level 4 visit

$220NP Med level 4 visit

$266NP Med level 5 visit

$266NP Med level 5 visit

$122NP moderate L3 wound care

$138NP Visit level 4 HHVI

$154NP Visit level 5 HHVI

$319OB Triage exam established pt level 4

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$112OP Est Pt Med level 2

$112OP Est Pt Med level 2

$122OP Est Pt Med level 3

$122OP Est Pt Med level 3

$138OP Est Pt Med level 4

$138OP Est Pt Med level 4

$154OP Est Pt Med level 5

$154OP Est Pt Med level 5

$122OP new patient visit level 3

$122OP new patient visit level 3

$122OP new patient visit level 3

$104OP Post op evaluation

$104OP Post op evaluation

$104OP Post op evaluation

$104OP Post op evaluation

$104OP Visit Est Pt Level 1

$104OP Visit Est Pt Level 1

$104OP Visit Est Pt Level 1

$120OP Visit Est Pt Level 2

$120OP Visit Est Pt Level 2

$120OP Visit Est Pt Level 2

$122OP Visit Est Pt Level 3

$122OP Visit Est Pt Level 3

$122OP Visit Est Pt Level 3

$138OP Visit Est Pt Level 4

$138OP Visit Est Pt Level 4

$138OP Visit Est Pt Level 4

$154OP Visit Est Pt Level 5

$154OP Visit Est Pt Level 5

$154OP Visit Est Pt Level 5

$137Tobacco/health behavior assessment

Magnetic Resonance Tehcnology (MRT) Charges

General Classification

Service Charge

$2,487MRA head without contrast material

$2,487MRA neck without contrast

$3,674MRI abdomen w/o & w/contrast

$3,672MRI any joint lower extrm w/o contrast

$2,972MRI any joint upper extr w/o contrast

$3,097Mri Brain Intracranial W/Cntrs

$3,103MRI pelvis without contrast

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$3,620MRI Pelvis W-Wo Contrast

MRI-Brain (including Brain Stem)

Service Charge

$2,907MRI brain without contrast material

$3,277Mri Brain W-Wo Contrast

Spinal Cord (Including Spine)

Service Charge

$3,066MRI cervical spine without contrast

$3,620MRI lumbar spine without & with contrst

$3,167MRI lumbar spine without contrast

Labor-Delivery Charges

The following list does not include charges for anesthesia, drugs or supplies required for a particular delivery room procedure. Fees for physician services or anesthesia administration are also not reflected and will be billed separately by your physici

Delivery

Service Charge

$4,499Caesarean Section Flat Fee

$4,854OB Special Care each 12 hour increment

$2,040Vaginal Delivery

Labor

Service Charge

$95Labor/hourly fee

EKG-ECG (Electrocardiogram) Charges

General Classification

Service Charge

$289EKG 12 lead tracing

$289EKG 12 lead tracing

$289EKG 12 lead tracing

$289EKG 12 lead tracing

$289EKG 12 lead tracing

$289EKG 12 lead tracing

$289EKG 12 lead tracing

$289EKG 12 lead tracing

$289EKG 12 lead tracing

$289EKG 12 lead tracing

$289EKG 12 lead tracing

$289EKG 12 lead tracing

$289EKG 12 lead tracing

$289EKG 12 lead tracing

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$289EKG 12 lead tracing

$289EKG 12 lead tracing

$289EKG 12 lead tracing

$289EKG 12 lead tracing

$289EKG 12 lead tracing

$289EKG 12 lead tracing

Holter Monitor

Service Charge

$272External ECG Recording 48 hr to 21 days; recording, connecti

$272External ECG Recording 48 hrs to 21 days; scanning analysis

$806Holter Monitor 24 hrs w/report

$494Holter Monitor Hookup/Rec/Disc

EEG (Electroencephalogram) Charges

EEG/General

Service Charge

$1,271EEG awake and asleep

$1,271EEG Awake and Drowsy

$1,541EEG extended 25-60 minutes

$1,591EEG extended monitoring > 60 min

$1,271EEG Sleep or Coma

$677Home Sleep Type III

$9,168Polysomnography sleep staging w/4+ addl parameters and CPAP

Gastro-Intestinal Charges

General Classification

Service Charge

$1,154Anorectal manometry

$572Breath hydrogen test

$2,579Colonoscopy Diag/Brush/Wash

$2,616Colonoscopy w/biopsy

$2,548Colonoscopy w/sn remov tumor/pol/les

$2,044Colonoscopy w/submucosal inj

$2,492EGD diag/brushing or washing

$3,198EGD Limited w/EUS

$2,808EGD w/biopsy single/multiple

$3,033EGD w/directed placement peg

$1,347Esophageal function GI reflux

$1,404Esophageal motility study

$1,924Sigmoidoscopy flexible w/bx sngl/multi

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Specialty Service (Treatment/Observation Room) Charges

Treatment Room

Service Charge

$1,420Abdom Paracentesis(diag/ther) wo imag

$1,420Abdom Paracentesis(diag/ther) wo imag

$1,420Abdom Paracentesis(diag/ther) wo imag

$1,420Abdom Paracentesis(diag/ther) wo imag

$1,420Abdom Paracentesis(diag/ther) wo imag

$1,420Abdom Paracentesis(diag/ther) wo imag

$1,420Abdom Paracentesis(diag/ther) wo imag

$1,420Abdom Paracentesis(diag/ther) wo imag

$1,420Abdom Paracentesis(diag/ther) wo imag

$1,420Abdom Paracentesis(diag/ther) wo imag

$1,420Abdom Paracentesis(diag/ther) wo imag

$1,420Abdom Paracentesis(diag/ther) wo imag

$1,420Abdom Paracentesis(diag/ther) wo imag

$1,420Abdom Paracentesis(diag/ther) wo imag

$1,420Abdom Paracentesis(diag/ther) wo imag

$563App skin graft total surf<100 sq cm 1st 25 s

$390Apply bilat multi layer comp lower leg

$438Apply multi layer compression lower leg

$306Bladder indwelling catheter insert foley

$306Bladder indwelling catheter insert foley

$306Bladder indwelling catheter insert foley

$306Bladder indwelling catheter insert foley

$306Bladder indwelling catheter insert foley

$306Bladder indwelling catheter insert foley

$306Bladder indwelling catheter insert foley

$306Bladder indwelling catheter insert foley

$306Bladder indwelling catheter insert foley

$306Bladder indwelling catheter insert foley

$306Bladder indwelling catheter insert foley

$306Bladder indwelling catheter insert foley

$306Bladder indwelling catheter insert foley

$409Bladder irrigation simple/lavage/instillation

$409Bladder irrigation simple/lavage/instillation

$409Bladder irrigation simple/lavage/instillation

$409Bladder irrigation simple/lavage/instillation

$409Bladder irrigation simple/lavage/instillation

$409Bladder irrigation simple/lavage/instillation

$409Bladder irrigation simple/lavage/instillation

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$409Bladder irrigation simple/lavage/instillation

$409Bladder irrigation simple/lavage/instillation

$409Bladder irrigation simple/lavage/instillation

$409Bladder irrigation simple/lavage/instillation

$409Bladder irrigation simple/lavage/instillation

$409Bladder irrigation simple/lavage/instillation

$230Bladder straight catheterization for residual urine

$230Bladder straight catheterization for residual urine

$230Bladder straight catheterization for residual urine

$230Bladder straight catheterization for residual urine

$230Bladder straight catheterization for residual urine

$230Bladder straight catheterization for residual urine

$230Bladder straight catheterization for residual urine

$230Bladder straight catheterization for residual urine

$230Bladder straight catheterization for residual urine

$230Bladder straight catheterization for residual urine

$230Bladder straight catheterization for residual urine

$230Bladder straight catheterization for residual urine

$230Bladder straight catheterization for residual urine

$230Bladder straight catheterization for residual urine

$1,073Bone marrow aspiration only

$1,073Bone marrow aspiration only

$1,073Bone marrow aspiration only

$1,073Bone marrow aspiration only

$1,073Bone marrow aspiration only

$1,073Bone marrow aspiration only

$1,073Bone marrow aspiration only

$1,073Bone marrow aspiration only

$1,073Bone marrow aspiration only

$1,073Bone marrow aspiration only

$1,073Bone marrow aspiration only

$1,073Bone marrow aspiration only

$1,073Bone marrow aspiration only

$1,073Bone marrow aspiration only

$907Bone marrow biopsy needle or trocar

$907Bone marrow biopsy needle or trocar

$907Bone marrow biopsy needle or trocar

$907Bone marrow biopsy needle or trocar

$907Bone marrow biopsy needle or trocar

$907Bone marrow biopsy needle or trocar

$907Bone marrow biopsy needle or trocar

$907Bone marrow biopsy needle or trocar

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$907Bone marrow biopsy needle or trocar

$907Bone marrow biopsy needle or trocar

$907Bone marrow biopsy needle or trocar

$907Bone marrow biopsy needle or trocar

$907Bone marrow biopsy needle or trocar

$4,603Breast bx includ placemnt clip & US guide 1st lesion

$4,603Breast bx includ placemnt clip & US guide 1st lesion

$335Cerumen removal

$335Cerumen removal

$335Cerumen removal

$335Cerumen removal

$404Control nosebleed anterior smpl

$92CVAD blood draw

$92CVAD blood draw

$92CVAD blood draw

$92CVAD blood draw

$92CVAD blood draw

$92CVAD blood draw

$1,263Deb skin & subq tissue L3 20 cm or less

$1,263Deb skin/sq/tissue/muscle L4 20 cm or less

$1,263Deb skin/sq/tissue/muscle L4 20 cm or less

$931Deb subq tissue each add 20 sq sm

$931Deb subq tissue each add 20 sq sm

$316Debride nail > 5

$417Debridement epidermis/dermis only 20 cm or less

$3,292Diagnostic bone marrow biopsy(ies) and aspirations

$3,292Diagnostic bone marrow biopsy(ies) and aspirations

$3,292Diagnostic bone marrow biopsy(ies) and aspirations

$3,292Diagnostic bone marrow biopsy(ies) and aspirations

$3,292Diagnostic bone marrow biopsy(ies) and aspirations

$3,292Diagnostic bone marrow biopsy(ies) and aspirations

$3,292Diagnostic bone marrow biopsy(ies) and aspirations

$3,292Diagnostic bone marrow biopsy(ies) and aspirations

$3,292Diagnostic bone marrow biopsy(ies) and aspirations

$3,292Diagnostic bone marrow biopsy(ies) and aspirations

$3,292Diagnostic bone marrow biopsy(ies) and aspirations

$3,292Diagnostic bone marrow biopsy(ies) and aspirations

$3,292Diagnostic bone marrow biopsy(ies) and aspirations

$1,710Exchange biliary drain cath perc include cholangography

$1,710Exchange biliary drain cath perc include cholangography

$1,710Exchange biliary drain cath perc include cholangography

$1,710Exchange biliary drain cath perc include cholangography

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$1,710Exchange biliary drain cath perc include cholangography

$1,710Exchange biliary drain cath perc include cholangography

$483Home PT/INR monitor educ/blood samp/demo

$2,687Ins Cath Central Venous Non-Tunnel >=5

$2,687Ins Cath Central Venous Non-Tunnel >=5

$1,560Ins needle/cath dialysis circuit diag angio & translum ball

$1,560Ins needle/cath dialysis circuit diag angio & translum ball

$4,625Ins tun cen ven cath w/o port/pump =>5yrs

$4,625Ins tun cen ven cath w/o port/pump =>5yrs

$2,687Insert nontunnel/PICC CV Cath 5 & >

$2,687Insert nontunnel/PICC CV Cath 5 & >

$2,687Insert nontunnel/PICC CV Cath 5 & >

$2,687Insert nontunnel/PICC CV Cath 5 & >

$2,687Insert nontunnel/PICC CV Cath 5 & >

$2,687Insert nontunnel/PICC CV Cath 5 & >

$2,687Insert nontunnel/PICC CV Cath 5 & >

$2,687Insert nontunnel/PICC CV Cath 5 & >

$2,687Insert nontunnel/PICC CV Cath 5 & >

$2,687Insert nontunnel/PICC CV Cath 5 & >

$2,687Insert nontunnel/PICC CV Cath 5 & >

$2,687Insert nontunnel/PICC CV Cath 5 & >

$2,687Insert nontunnel/PICC CV Cath 5 & >

$2,687Insert nontunnel/PICC CV Cath 5 & >

$754Laryngoscopy flexible fiberoptic diagnostic

$754Laryngoscopy flexible fiberoptic diagnostic

$1,119Miscellaneous bedside procedure

$1,119Miscellaneous bedside procedure

$1,119Miscellaneous bedside procedure

$1,119Miscellaneous bedside procedure

$1,119Miscellaneous bedside procedure

$1,119Miscellaneous bedside procedure

$1,119Miscellaneous bedside procedure

$1,119Miscellaneous bedside procedure

$1,119Miscellaneous bedside procedure

$1,119Miscellaneous bedside procedure

$1,119Miscellaneous bedside procedure

$1,119Miscellaneous bedside procedure

$1,119Miscellaneous bedside procedure

$827Nasal Endo Dx Uni/Bilat

$827Nasal Endo Dx Uni/Bilat

$827Nasal Endo Dx Uni/Bilat

$124Osteopathic manipulation 5-6 body regions

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$167Osteopathic manipulation 7-8 body regions

$313PAP NAP Sleep Sudy Attended

$3,403Place neph cath perc incl neph/ureterogram w/image guidance

$3,403Place neph cath perc incl neph/ureterogram w/image guidance

$3,403Place neph cath perc incl neph/ureterogram w/image guidance

$3,403Place neph cath perc incl neph/ureterogram w/image guidance

$3,403Place neph cath perc incl neph/ureterogram w/image guidance

$698Puncture asp abscess hematoma bula or cyst

$520Puncture Asp Breast Cyst

$520Puncture Asp Breast Cyst

$307PVR Measured By US

$446Removal foreign body ear canal wo anes

$446Removal foreign body ear canal wo anes

$2,696Therapeutic apheresis plasma pheresis

$2,696Therapeutic apheresis plasma pheresis

$2,953Therapeutic apheresis platelets

$2,953Therapeutic apheresis platelets

$2,696Therapeutic apheresis WBC

$2,696Therapeutic apheresis WBC

$2,953Therapeutic apherisis RBC

$2,953Therapeutic apherisis RBC

$5,501Tunneled Cath > 5Yrs Sq Port

$5,501Tunneled Cath > 5Yrs Sq Port

$316Wound VAC 50 sq cm or less

Miscellaneaous Dialysis Charges

General Classification

Service Charge

$2,283CRRT Per Day

$2,283CRRT Per Day

Other Therapeutic Service Chages

Cardiac Rehabilitation

Service Charge

$265Cardiac Rehab w/ continuous EKG monitoring

$213Cardiac Rehab without continuous EKG monitor

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If you received services at UH Parma Medical Center, your hospital charges are managed through the Central Business Office of University Hospitals.

Shortly after receiving services, you will receive your Personal Account Statement. The statement is generated and mailed to you at the same time your charges are submitted to your insurance carrier.

In addition to your hospital bill, you may receive separate bills from your physician or other professional service providers involved in your hospital care. If you have a question regarding your Hospital Based Physician Bill or would like to make payment, we ask that you contact them directly. Please refer to the Hospital Based Physician Information on this web site.

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