In compliance with state law, Lima Memorial Health System 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 01/01/13.
Room and Board -- Per Day Charges
| Charges |
| Routine Care |
$787.50 |
| Obstetrics Inpatient |
$840.00 |
| Transitional Care Inpatient |
$474.60 |
| Labor/Delivery Birthing Room |
$1,155.00 |
| Pediatrics Inpatient |
$840.00 |
| Rehab Inpatient |
$580.65 |
| Nursery |
$1,118.25 |
| Intensive Care/Coronary Care Inpatient |
$1,470.00 |
| CVICU Inpatient |
$1,650.00 |
| Cardiac Inpatient |
$997.50 |
| CIU Inpatient |
$1,260.00 |
Labor and Delivery Charges The following list
does not include charges for room rates, 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 physician.
| Charges |
| Normal Delivery |
$3,063.96 |
| Cesarean Section Delivery |
$5,717.00 |
| Amniocentesis |
$1,192.77 |
Emergency Department Charges Emergency Center
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 Center physicians, radiologists or
pathologists, who will bill separately for their services.
| Charges |
| Emergency Level 1 |
$85.11 |
| Emergency Level 2 |
$216.74 |
| Emergency Level 3 |
$424.00 |
| Emergency Level 4 |
$769.00 |
| Emergency Level 5 |
$1,019.19 |
| Trauma Care - Level 1 |
$9,343.62 |
| Trauma Care - Level 2 |
$6,540.05 |
| Trauma Care - Level 3 |
$3,270.63 |
| Critical Care |
$1,966.93 |
Operating Room Charges Operating room charges
are based on the complexity level, with Level 1 being the most
basic, for a particular operation. The prices will vary by the
amount of time it takes as well as by the complexity of the
procedure. These charges do not include fees for anesthesiology,
drugs, supplies or additional ancillary procedures that may be
required for a particular operation.
Level 1 - Includes procedures with minimal equipment and usually
2-3 nurses (1 being a RN)
| Initial Setup Charge |
$3,650.00 |
| Each Addtl 15 minutes |
$503.12 |
Level 2 - Includes procedures that require additional equipment
(power drill, saws, video, laser). Would also require two or more
nurses. If critical, procedure/patient will need two RN's.
| Initial Setup Charge |
$4,000.00 |
| Each Addtl 15 minutes |
$729.39 |
Level 3 - Includes procedures done in the open heart rooms,
except pacemakers done in the open heart rooms (which will be
charged as a Level 2).
| Initial Setup Charge |
$9,472.73 |
| Each Addtl 15 minutes |
$1,356.29 |
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.
| Charges |
| Aquatic Therapy Individual - 15 minutes |
$109.30 |
| Electric Stimulation Unattended |
$78.10 |
| Gait Training - 15 minutes |
$93.85 |
| Group Exercise Therapeutic |
$119.90 |
| Hot or Cold Packs |
$29.70 |
| Iontophoresis - 15 minutes |
$112.32 |
| Manual Therapy - 15 minutes |
$109.08 |
| Massage - 15 minutes |
$89.10 |
| Mechanical Traction |
$100.98 |
| Muscle Testing, Manual Extremities |
$54.45 |
| Neuro Muscular Re-Education - 15 minutes |
$109.30 |
| Physical Therapy Evaluation Inpatient |
$238.00 |
| Physical Therapy Re-Evaluation |
$133.10 |
| Therapeutic Activities - 15 minutes |
$98.60 |
| Therapeutic Exercise - 15 minutes |
$83.00 |
| Transfer Training - 15 minutes |
$85.00 |
| Ultrasound - Each 15 minutes |
$90.72 |
| Wheelchair Mobility Training - 15 minutes |
$83.00 |
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.
| Charges |
| Activities of Daily Life Training - Each 15
minutes |
$85.00 |
| Congitive Skills - Each 15 minutes |
$99.79 |
| Electric Stimulation Attended |
$108.11 |
| Electric Stimulation Unattended |
$78.10 |
| Fluidotherapy |
$114.05 |
| Group Therapy |
$119.90 |
| Hot Packs |
$29.70 |
| Iontophoresis - Each 15 minutes |
$112.32 |
| Manual Therapy - Each 15 minutes |
$109.08 |
| Massage - Each 15 minutes |
$89.10 |
| Neuro Muscular Re-Education - 15 minutes |
$109.30 |
| Occupational Therapy Evaluation - Inpatient |
$238.00 |
| Occupational Therapy Re-Evaluation |
$133.10 |
| Orthotic Management - 15 minutes |
$110.11 |
| Therapeutic Dynamic Activity - 15 minutes |
$98.60 |
| Therapeutic Exercise - 15 minutes |
$83.00 |
| Paraffin Bath |
$67.72 |
| Sensory Integrative Training |
$106.92 |
| Ultrasound - Each 15 minutes |
$90.72 |
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.
| Charges |
| Broncho Provocation Test |
$937.02 |
| CO Diffusion |
$163.71 |
| Oximetry Measurement Multi |
$142.42 |
| Oximetry Measurement Single |
$98.49 |
| Oximetry Sleep Study |
$284.83 |
| Pre & Post Spirometry |
$417.93 |
| Pulmonary Stress Test, Simple |
$167.71 |
| Spirometry |
$372.68 |
X-Ray and Radiological Charges The following
charges reflect the hospital's 30 most common x-ray and
radiological procedures. These charges would not include any
radiologist's fees that would be billed separately by their
office.
| Charges |
| Abdomen Acute Inc Flat/Erect w Chest
Xray |
$540.00 |
| Abdomen - Ap View |
$260.00 |
| Ankle - Minimum 3 Views |
$310.00 |
| Cervical Spine 2-3 Views |
$300.00 |
| Chest 1 View Frontal |
$135.52 |
| Chest 2 View Frontal and Lateral |
$260.00 |
| Catscan Abdomen & Pelvis w
Contrast |
$3,700.00 |
| Catscan Abdomen & Pelvis w/o
Contrast |
$3,000.00 |
| Catscan Angiography Chest w/wo
Contrast |
$2,786.85 |
| Catscan Cervical Spine wo
Contrast |
$1,400.00 |
| Catscan Chest w Contrast |
$1,801.59 |
| Catscan Head or Brain wo Contrast |
$1,200.00 |
| Dexa, Axial Skeleton Study |
$532.40 |
| Flouroscopy, Up to One Hour |
$520.00 |
| Foot - Minimum 3 Views |
$332.75 |
| Hand - Minimum 3 Views |
$344.85 |
| Hip - Minimum 2 Views |
$240.00 |
| Knee - 4 or More Views |
$437.90 |
| Lumbar Spine - 2 to 3 Views |
$300.00 |
| Screening Mammogram Digital |
$183.92 |
| Mammogram Unilateral Digital |
$200.98 |
| MRI Brain w/o Contrast |
$2,350.00 |
| Myocardial Perfunction Spect MX
Studies |
$3,600.00 |
| Pelvis - 1 to 2 Views |
$220.00 |
| Retroperitoneal Complete |
$813.24 |
| Shoulder - Minimun 2 Views |
$403.29 |
| Ultrasound Abdomen Limited |
$943.68 |
| Ultrasound Breast Unilateral
Medpark |
$575.96 |
| Ultrasound Guild Needle Placement
S&I |
$740.00 |
| Wrist - Complete, Min 3 Views |
$338.07 |
Outpatient Laboratory Charges
The following charges reflect the hospital's most
common outpatient laboratory procedures. Inpatient charges may vary
from those shown here. These charges would not include any pathologist's fees that would be billed
directly by their office.
| Charges |
| Antibiotic Susceptability |
$22.00 |
| APTT |
$12.57 |
| Blood Gases, Calc O2.ABG |
$152.46 |
| CBC Without DIFF |
$16.00 |
| CKMB Fraction |
$187.55 |
| Complete Blood Count |
$20.00 |
| Creatine Kinase, Total |
$15.00 |
| Culture, Blood |
$134.15 |
| Culture, Routine |
$15.00 |
| Culture, Screening Only |
$78.53 |
| Culture, Urine |
$25.00 |
| DIFF Scan (Bill Only) |
$10.00 |
| Gram Stain |
$8.50 |
| HCT |
$5.00 |
| HGB |
$5.00 |
| HGB A1C |
$27.12 |
| Iron |
$13.60 |
| Lipase |
$98.01 |
| Magnesium |
$62.92 |
| Manual Diff (Bill Only) |
$15.00 |
| Natriuretic Peptide |
$231.11 |
| Prothrombin Time |
$15.00 |
| T4 Free |
$18.90 |
| ThinPrep Pap, Screen |
$74.54 |
| Troponin, Quantitative |
$91.96 |
| THS |
$46.94 |
| Urinalysis (UMAC) |
$10.00 |
| Urine Bacterial ID (Each
Organism) |
$83.98 |
| Urine Reflex, Possible Culture |
$10.00 |
| Venipuncture |
$6.00 |
Hospital Billing Policies Lima Memorial Health
System's billing policies are available for viewing online. Please
visit us at https://lima.patientcompass.com/hc/guarantor/billingPolicies.do
to view these policies. To enroll for our online patient
statements, you may visit us at https://lima.patientcompass.com/hc/sp/lima/guarantor.
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
www.ohanet.org/portal.