Patient pricing
The Children's Medical Center of Dayton is providing this price list containing our charges for room and board, emergency department, operating room, medical imaging, 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 July 1, 2008.
Other Resources:
|
Room and Board -- Per Day Charges |
| Room Charge - Per Day |
| GENERAL PEDS |
$1,71600 |
|
| CHRONIC CARE |
$1,638.00 |
|
| NICU |
$2,769.00 |
|
| PICU |
$3,09500 |
|
| HEM/ONC |
$1,853.00 |
|
|
|
|
| Observation Charges |
| OBS 1-DAY ONLY LOW SEVRTY |
$523.00 |
|
| OBS 1-DAY ONLY MOD SEVRTY |
$1,033.00 |
|
| OBS 1-DAY ONLY HIGH SVRTY |
$1,580.00 |
|
| OBS 1ST DAY STAY LOW SEVR |
$538.00 |
|
| OBS 1ST DAY STAY MOD SEVR |
$1,033.00 |
|
| OBS 1ST DAY STAY HIGH SVR |
$1,580.00 |
|
| OBS 2ND DAY STAY LOW SEVR |
$356.00 |
|
| OBS 2ND DAY STAY MOD SEVR |
$557.00 |
|
| OBS 2ND DAY STAY HIGH SRV |
$1,097.00 |
|
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|
|
| Nursing Care |
| PICU NRS CAVH/CVVH W/DR |
$1,265.00 |
|
| PICU NRS CAVH/CVVH W/O DR |
$1,017.50 |
|
| PICU NRS HEMO DIALYSIS |
$1,017.50 |
|
| PICU NRS PERI DIALYSIS |
$1,090.10 |
|
| THERAPUTIC APHERESIS |
$1,886.50 |
|
| HEMODIALYSIS W/1 EVAL |
$1,087.90 |
|
|
|
|
Emergency Department Charges |
|
These are hospital charges only and do not include any physicians' fees. |
| Emergency Room |
| ED ROOM LVL I |
$76.00 |
|
| ED ROOM LVL II |
$187.00 |
|
| ED ROOM LVL III |
$314.00 |
|
| ED ROOM LVL IV |
$457.00 |
|
| ED ROOM LVL V |
$618.00 |
|
| ED CRITICAL CARE MAJOR |
$882.00 |
|
| ED CRITICAL CARE MINOR |
$763.00 |
|
| These are hospital charges only and do not include any physicians fees. |
|
|
Operating Room Charges |
|
Prices do not include physician's fees and supplies. Both the surgeon and anesthesiologist will bill for services. Please check with your health insurance company to make sure these charges are covered. |
| Surgery |
| SURGERY ROOM CHARGE |
$375.00 |
|
| 1-30 MINUTES SURG |
$647.00 |
|
| 31-45 MINUTES SURG |
$935.00 |
|
| 46-60 MINUTES SURG |
$1,230.00 |
|
| 61-75 MINUTES SURG |
$1,527.00 |
|
| 76-90 MINUTES SURG |
$1,827.00 |
|
| 91-105 MINUTES SURG |
$2,131.00 |
|
| 106-120 MINUTES SURG |
$2,438.00 |
|
| 121-135 MINUTES SURG |
$2,747.00 |
|
| 136-150 MINUTES SURG |
$3,060.00 |
|
| 151-165 MINUTES SURG |
$3,376.00 |
|
| 166-180 MINUTES SURG |
$3,694.00 |
|
| 181-195 MINUTES SURG |
$4,016.00 |
|
| 196-210 MINUTES SURG |
$4,342.00 |
|
| These charges are hospital charges only and do not include any physicians fees. For a listing of doctor's charges you need to talk to your surgeon. |
|
|
|
Physical/Occupational Therapy Charges |
|
These charges are complete for therapy visits. If you see a physician, there may be other charges. |
| PT and OT |
|
| PT EVALUATION |
$251.00 |
|
|
| PT THER EXERCISE 15 MIN |
$50.00 |
|
|
| OT EVAL |
$251,99 |
|
|
| OT ORTHOTIC FAB 15 MIN |
$50.00 |
|
|
| OT TREATMENT 15 MIN |
$50.00 |
|
|
| BURN GARMENT MEAS 15 MIN |
$50.00 |
|
|
| BURN GARMENT ISSUE 15 MIN |
$50.00 |
|
|
| These charges are complete for therapy visits. |
| If you see a physician there may be other charges. |
|
|
Pulmonary Therapy Charges |
|
|
|
|
| Pulmonary Therapy |
Hospital |
Physician |
|
|
| OXYGEN PER 12HRS |
$47.00 |
|
|
|
| TENT, PER HOUR |
$19.00 |
|
|
|
| NEBULIZER, PER HOUR. |
$15.00 |
|
|
|
| VENT INITIAL DAY |
$801.00 |
|
|
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| VENT SUBSEQUENT DAY |
$699.00 |
|
|
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| CPAP PER DAY |
$656.00 |
|
|
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| TCPO2/TCPCO2 PER HR |
$15.00 |
|
|
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| CAPNOGRAPHY PER HOUR |
$21.00 |
|
|
|
| AEROSOL INIT RX |
$63.00 |
|
|
|
| AEROSOL SUBSEQUENT RX |
$57.00 |
|
|
|
| BRONCHIAL HYGIENE,INIT |
$82.00 |
|
|
|
| BRONCHIAL HYGIENE,SUBQ |
$77.00 |
|
|
|
| INTUBATION |
$412.00 |
|
|
|
| OXIMETRY |
$60.00 |
|
|
|
| COMPLETE BLOOD GASES |
$95.00 |
|
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|
| MULTICHANNEL SOMNOGRAM |
$697.00 |
$73.00 |
|
|
| POLYSOMNOGRAPHY |
$1,910.00 |
$325.00 |
|
|
| INHALATION CHALLENGE |
$373.00 |
$82.50 |
|
|
| BREATH H2 |
$145.00 |
$52.00 |
|
|
| PF SPIROMETRY BEFORE |
$165.00 |
$54.00 |
|
|
| PF FRC BEFORE |
$101.00 |
$24.00 |
|
|
| PF FRC AFTER |
$101.00 |
$24.00 |
|
|
| PF DLCO |
$101.00 |
$110.00 |
|
|
| PULMONARY STRESS |
$292.00 |
$91.00 |
|
|
| PULMONARY STRESS COMPLEX |
$334.00 |
$91.00 |
|
|
|
|
X-Ray and Radiological (Medical Imaging) Charges |
|
The following charges reflect the hospital's 40 most common x-ray and radiological procedures. These are hospital charges only and do not include any physicians' fees. |
| Radiology |
|
| ELBOW L, 2V |
$121.00 |
|
|
|
| FOREARM L |
$111.00 |
|
|
|
| WRIST L, 3+V |
$147.00 |
|
|
|
| HAND R |
$147.00 |
|
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| FINGERS R, 2+V |
$97.00 |
|
|
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| FEMUR L, 2V |
$129.00 |
|
|
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| KNEE R 1 OR 2 VIEWS |
$129.00 |
|
|
|
| TIB/FIB R |
$129.00 |
|
|
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| ANKLE R,3+V |
$147.00 |
|
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| FOOT R, 3V |
$147.00 |
|
|
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| C-SPINE AP LAT 2 OR 3 VW |
$182.00 |
|
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| PELVIS AP 1 VIEW ONLY |
$104.00 |
|
|
|
| SCOLI-AP&LAT ERECT |
$189.00 |
|
|
|
| HIPS AP & FROGLEG LAT |
$163.00 |
|
|
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| SINUSES COMPLETE |
$213.00 |
|
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| SKULL <4 VIEWS X-RAY |
$159.00 |
|
|
|
| NECK SOFT TISSUE (AIRWAY) |
$158.00 |
|
|
|
| CHEST PORT AP |
$120.00 |
|
|
|
| CHEST WITH LATERAL VIEW |
$145.00 |
|
|
|
| ABD 1 VIEW (KUB) |
$111.00 |
|
|
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| ABDOMEN 2 VIEW |
$147.00 |
|
|
|
| UPPER GI W/O KUB |
$322.00 |
|
|
|
| UGI/SBFT (SMALL BOWEL) |
$529.00 |
|
|
|
| BARIUM ENEMA |
$380.00 |
|
|
|
| VCUG |
$396.00 |
|
|
|
| BONE AGE 5 YRS AND OVER |
$111.00 |
|
|
|
| HEAD W/O,CT |
$1,064.00 |
|
|
|
| HEAD W,CT |
$1,412.00 |
|
|
|
| HEAD W/O&W,CT |
$1,908.00 |
|
|
|
| ABD W,CT |
$1,440.00 |
|
|
|
| ABD W/O&W,CT |
$1,908.00 |
|
|
|
| SINUS W/O CT |
$1,064.00 |
|
|
|
| SINUS W,CT |
$1,440.00 |
|
|
|
| NUCLEAR CYSTOGRAM,NM |
$744.00 |
|
|
|
| ECHOENCEPHALOGRAPHY,US |
$429.00 |
|
|
|
| RENAL ECHOGRAPHY,US |
$490.00 |
|
|
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| PELVIC ECHOGRAPHY,US |
$401.00 |
|
|
|
| BRAIN BRAINSTEM W/O,MRI |
$1,853.00 |
|
|
|
| BRAIN W,MRI |
$2,500.00 |
|
|
|
| BRAIN W/O&W,MRI |
$2,945.00 |
|
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| These are hospital charges only and do not |
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|
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| include any physicians fees. |
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|
Laboratory Charges |
|
The following charges reflect the hospital's 50 most common laboratory procedures. These lab charges are complete. There are no pathologists' fees. |
| Lab |
|
| MANUAL DIFFERENTIAL |
$32.00 |
|
|
| BLD COUNT W/O DIFF W/PLT |
$52.00 |
|
|
| BASIC METABOLIC |
$58.00 |
|
|
| CBC, AUTO DIFF W/ PLT |
$36.00 |
|
|
| URINALYSIS DIP ONLY |
$26.00 |
|
|
| COMPREHENSIVE METABOLIC |
$79.00 |
|
|
| URINE CULTURE-CLEAN CATCH |
$63.00 |
|
|
| THRT CULT B STREP, GRP A |
$41.00 |
|
|
| RAPID B-STREP, GRP A |
$40.00 |
|
|
| BILIRUBIN DIRECT |
$27.00 |
|
|
| TSH,HIGHLY SENSITIVE |
$96.00 |
|
|
| BLOOD CULT ROUTINE |
$74.00 |
|
|
| URINALYSIS & MICROSCOPIC |
$32.00 |
|
|
| MIC-SUSCEPT, EACH ORG |
$68.00 |
|
|
| MAGNESIUM |
$34.00 |
|
|
| PHOSPHOROUS |
$29.00 |
|
|
| URINE DRUG OF ABUSE, EA |
$32.00 |
|
|
| GRAM STAIN SMEAR |
$30.00 |
|
|
| FREE T4 |
$68.00 |
|
|
| RSV EIA |
$58.00 |
|
|
| SEDIMENTATION RATE |
$38.00 |
|
|
| BILIRUBIN TOTAL |
$27.00 |
|
|
| UCG URINE PREGNANCY TEST |
$58.00 |
|
|
| RAPID FLU |
$63.00 |
|
|
| INSULIN |
$44.00 |
|
|
| HEMOGLOBIN A1C |
$63.00 |
|
|
| LIPID PROFILE |
$57.00 |
|
|
| RETICULOCYTE COUNT,AUTO |
$20.00 |
|
|
| LEAD, BLOOD |
$49.00 |
|
|
| BID1, AEROBIC, DEFIN ID1 |
$81.00 |
|
|
| RENAL PROFILE |
$58.00 |
|
|
| PT (PROTIME) |
$42.00 |
|
|
| AMYLASE |
$37.00 |
|
|
| LIPASE |
$50.00 |
|
|
| HEPATIC FUNCTION |
$64.00 |
|
|
| IONIZED CALCIUM |
$79.00 |
|
|
| PTT |
$50.00 |
|
|
| H&H, HEMOGLOBIN & HCT |
$29.00 |
|
|
| T4 |
$45.00 |
|
|
| GLUCOSE RANDOM |
$30.00 |
|
|
| PERTUSSIS, PCR |
$193.00 |
|
|
| CSF CELL CNT & DIFF |
$38.00 |
|
|
| CSF GLUCOSE |
$70.00 |
|
|
| CSF PROTEIN |
$37.00 |
|
|
| SGPT |
$29.00 |
|
|
| CREATININE URINE |
$34.00 |
|
|
| STOOL CULT ROUT SAL/SHIG |
$74.00 |
|
|
| STOOL CULT-E.COLI |
$70.00 |
|
|
| SGOT |
$29.00 |
|
|
| HUMAN GROWTH HORMONE |
$89.00 |
|
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| These lab charges are complete. There are no pathologists fees. |
|
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|
Hospital Billing Policies |
|
|
|
For specific billing questions and information on billing policies, please call patient accounts at 937-641-3555. You may also see Billing Q & A our website (go to Patient & Visitor Information, Insurance & Financial).
For more inforamtion: 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.ohiohealthcareguide.org |
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