Hospital pricing

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Understanding hospital pricing

While hospital charges can be confusing in a consistently changing environment, the team at Claxton-Hepburn Medical Center is committed to keeping our prices among the lowest in our community. We are also committed to correct and transparent billing. If a service appears on a bill that was not provided, call patient financial services at 315.713.5118 and our team will investigate immediately.

We charge patients and insurance companies the same price for individual services. In addition to hospital charges, patients may be billed by other professionals who participated in providing care.

Claxton-Hepburn delivers transparency in pricing

In compliance with state law, Claxton-Hepburn Medical Center provides a price list available to each patient and community member upon request. This list contains our estimated charges for services including:

The hospital 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 Financial Counselor to determine whether they qualify for discounts and/or financial aid.

These prices are an estimate based on the historical data as of December 31, 2014. For specific estimates, please contact our financial counseling office at 315.713.5118 to be provided an individual cost estimate.

Please note that the pricing in this notice is an estimate only and all prices may vary based on the individual services performed and the acuity of care required.

Room and board—per day charges

Acute/swing bed

Charges may vary depending on 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 depending on the acuity of care needed for a particular patient.

Charges*
Acute $757
Mental health $1,295
Swing bed $721
*Professional charges are billed separately and are dependent on patient acuity.

Observation

Charges*
Observation charge per hour $69/hour
*Professional charges are billed separately and are dependent on patient acuity.

Emergency Department

Emergency Department charges are based on the level of emergency care provided to our patients. The levels, with Level I 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.

Charges
Level I $100
Level II $289
Level III $406
Level IV $691
Level V $797
Critical Care $1,182

You will receive a separate bill from the Emergency Department Physician Group–Team Health for the provision of this component of your care.

Respiratory/pulmonary therapy charges

The following charges reflect the most common services offered by our Cardiopulmonary department. Patients may have additional charges, depending on the services performed.

Charges
Cardiac event detection monitoring Range $200$500
Echocardiogram Range $200$1,400
Electrocardiogram Range $200$300
Holter monitor Range $215–$460
Pulmonary function test Range $200$300
Stress test (with or without medication) Range $500$900

Laboratory charges

The following charges reflect the hospital's 12 most common laboratory procedures. Please note that oftentimes laboratory services are ordered for multiple tests per encounter. If you would like specific pricing for individual services, please contact our Patient Financial Counselor at 315.713.5118.

Charges
APTT $23
Basic metabolic profile (BMP) $52
Cardiac troponin $164
CBC with auto differential $54
Complete blood count with auto differential $67
Free T4 $89
Influenza $56
Lipid panel $123
Prothrombin time $23
TSH high sensitivity $179
Urine micro $53

Ambulatory surgery charges

Ambulatory surgery charges can have many variables. All procedures are unique to patient diagnosis and condition. The following charges do not include ALL fees for drugs, supplies or additional ancillary procedures that may be required, depending on the acuity of care needed for a particular patient.

Charges
Anesthesia services Range $400$1,200
Breast health Range $600–$1,000
Colorectal services Range $2,500$4,000
Ear, nose and throat services Range $1,800$2,800
Electroconvulsive shock therapy Range $,1800$1,200
Endoscopy Range $1,800$5,000
General surgery Range $1,800$5,000
Gynecological services Range $1,800$5,000
Ophthalmology (BMP) Range $3,000$6,000
Vein procedures Range $1,200$3,000

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
Aqua therapy $107
Electronic stimulation $81
Gait training $79
PT evaluation $197
Therapeutic exercise, first 15 minutes $88

X-ray and radiological charges

The following charges reflect the hospital's most common x-ray and radiological procedures.

Charges
Ankle complete $248
Bilateral mammography $366
Chest 2 view posterior/anterior & lateral $324
CT abdomen & pelvis with contrast $3,092
CT abdomen & pelvis without contrast $2,842
CT angio services $600–$1,000
CT head/brain without contrast $2,359
CT pelvis with contrast $1,503
CT thorax without contrast $1,425
Knee complete $325
MRI abdomen with contrast $2,594
MRI abdomen without contrast $4,603
MRI brain without contrast $2,518
MRI pelvis with contrast $2,475
MRI thoracic spine with contrast $2,858
PET scan Range $1,300–$4,300
Shoulder complete $208
Ultrasound abdominal complete $598
Ultrasound pelvic complete $455
Venous doppler unilateral $334
Wrist complete $226

You will receive a separate bill for the radiologist provision of care for the reading of your x-ray.

Claxton-Hepburn Health Centers

The charges represented below indicate the basic office appointment. Charges can fluctuate based upon the care 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.

Charges
New patient $100–$457
Established patient $72–$316
Specialty services $100–$500

CHMC Outpatient Mental Health Clinic

The charges represented below indicate the basic office appointment. Charges can fluctuate based upon the care 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.

Charges
Counseling session $60
Psychiatry appointment $100–$250

Billing policy summary

If you have questions or need assistance with your bill, we provide patient financial counseling to assist you. Financial counseling can furnish information, make payment arrangements and help you resolve insurance billing problems.

You may contact our Patient Financial Counselor in two ways:

Health insurance plan participation

Listed here are insurance companies with which Claxton-Hepburn Medical Center currently partners. Please contact your health insurance company directly to determine if your plan is included. Our medical center employed physicians participate with the same insurances.

Government programs:

Health Care Exchange Plans:

Medicaid Managed Care Plans:

Medicare Managed Care Plans:

PPO, HMO Plans:

If your health plan is not listed above, please call your insurance company directly.

Hospital affiliations

Claxton-Hepburn Medical Center maintains an affiliation with River Hospital, Alexandria Bay, NY.

Services billed separately

The physician services provided in the hospital are not included in your hospital charges. Physicians who provide services at Claxton-Hepburn Medical Center may or may not participate in the same health plans. They include affiliated physicians, radiologists, anesthesiologists and lab work. Please check with the physician who arranges your hospital services to determine the plans in which they participate. The names, addresses and contact information for physicians who CHMC employs, as well as groups of physicians and providers with whom CHMC contracts to provide services such as anesthesia, pathology and radiology are listed below. Please refer to these lists to contact any provider listed.

Patients may receive additional billing from the following:

Click here for the employment status of providers at CHMC.