Patient Portal

2018 Estimated Charges for Selected Procedures

Reimbursement to the hospital (and the patient’s financial responsibility) will vary based on the term of any insurance coverage and contractual reimbursement rates, deductible, co-pay and coinsurance.

Inpatient Basic Per Diem Medical/Surgical Bed Charge: $730

MS DRG Procedure Median Charge
775         Normal Vaginal Delivery (Mother) $4,836.73
774         Normal Vaginal Delivery (w/complicating diagnosis) $6,096.14
766         Normal Cesarean Section (Mother)   $7,233.05
795         Normal Newborn (Baby) $2,471.42
194         Simple Pneumonia & Pleurisy with CC $10,957.62
291         Heart Failure and Shock w/ MCC       $17,826.48
470         Major Joint Replacement or Reattachment     $29,583.45
603         Cellulitis w/o MCC $8,048.03
885         Psychoses $15,869.18

 

Outpatient Services CPT CODE Median Charge
Colonoscopy 45378 $2,098.17
Colonoscopy w/Lesion Removal  45385  $2,701.70
Colonoscopy EGD Biopsy single/multiple  43239  $3,722.16
Screening Digital Mammogram, Bilateral  77067 $425.00
Bone Density  77080 $517.00
Chest X-Ray (AP and Lateral)  71046 $205.00
CT Abdomen & Pelvis w/o contrast 74176 $2,014.00
CT Head/Brain w/o contrast  70450  $1,036.00
MRI Brain w/o contrast  70551  $1,992.00
MRI Lower Extremity joint w/o cont  73721  $1,907.00
MRI Lumbar Spine w/o contrast  72148 $2,061.00
Stress Test 93017 $815.00
Stress Test TTE Complete   93351 $1,785.00
Stress TTE w/ Doppler Complete  93306  $1,534.00

 

Emergency Department (includes Professional Fee)* CPT CODE Median Charge
Level 1 (least critical)  99281 $238.00
Level 2  99282  $417.00
Level 3 99283  $622.00
Level 4  99284  $1,062.00
Level 5  66285  $1,548.00

 

*Charges shown are for basic facility and professional fees and do not include any additional services that may be performed in the Emergency Department.

The above 2018 charge estimates are based on rates as of 01/01/2018. Charges for specific patients will depend on many factors including the physician, the condition of the patient, unexpected complications, or additional procedures required. These charges are to be considered estimates only and are not a guarantee of final costs. These are hospital charges only (except where indicated). Other fees and charges are not included such as surgeon or other physician fees, radiologist and other non-facility fees.