PATIENT PRICE INFORMATION LIST


In compliance with state law, Van Wert County Hospital is providing this price list containing charges for room department, emergency department, operating room, delivery, physical therapy and other procedures. The hospital’s charges and patient’s responsibility may vary, depending on payment plans negotiated with individual health insurers.  Patients should consult with admitting and billing staff to determine if they qualify for a discount. The following prices are in affect as of 01/01/2017.

Patient Service Pricing and Estimates


As a service to patients, Van Wert County Hospital provides price estimates for many of the most commonly requested medical services and diagnostic tests. While every effort is made to ensure the accuracy of these price estimates, the costs associated with medical care and diagnostic testing can vary substantially, depending on each individual's medical needs and circumstances. We cannot determine in advance the exact total cost of a procedure, because we cannot anticipate all of the charges that may be incurred in the course of treatment. As a result, the final bill may be greater than or less than the estimate provided. Van Wert County Hospital makes no guarantees regarding the accuracy of the pricing information posted here and shall not be held liable for any inaccuracies.  For questions about your financial obligation, we encourage you to contact your insurance company to verify details of your coverage. If you would like pricing for a procedure that is not listed, you may contact our billing department at (419) 238-8640.

 

ROOM AND BOARD—PER DAY CHARGES


DESCRIPTION CHARGES 
INTENSIVE CARE  $ 1,287.00
TELEMETRY $ 1,054.00
MEDICAL SURGICAL ROOM $    607.00
PEDIATRICS $    607.00

LABOR AND 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 physician. To estimate the total price of delivery you will need to add the cost of either the normal delivery or cesarean and the cost of the normal newborn.
DESCRIPTION CHARGES 
NORMAL DELIVERY  $   7,994.00
NORMAL NEWBORN $   2,971.00
NORMAL C-SECTION  $ 15,065.00
AMNIOCENTESIS $      456.75
NON STRESS TEST $      259.20

EMERGENCY DEPARTMENT CHARGES



Emergency Department (ED) charges are based upon a level of service provided to our patients.  The level of service charge is the general fee associated with the use of the emergency department and general nursing care required for a particular level on the hospital side.  The level fees DO NOT include medications, procedures, tests, IV’s or supplies, those are all additional charges.  A separate bill will be sent from Phoenix Physicians for the physician charges based on level of service, procedures, etc.  Phoenix Physicians can be contacted at:  1-800-355-2470. Monday - Friday 9:30am-4:30pm.
 
HOSPITAL SERVICES CHARGES 
LEVEL 1  $  120.70
LEVEL 2 $  165.90
LEVEL 3   $  210.95
LEVEL 4  $  357.20
LEVEL 5   $  465.75
CRITICAL CARE  $  628.35

OPERATING ROOM CHARGES



Operating Room charges are based on the complexity level, with minor being the most basic, for a particular operation.  There are extra charges for additional hours. The charges below do not include physician fees, anesthesia, and other services that may be ordered during your visit. To inquiry about a surgical procedure that is not listed, you may contact out billing department at (419) 238-8640.
 

HOSPITAL SURGERY

MINOR INTERMEDIATE MAJOR
$1,362.00  FIRST 1/2 HR $2,316.47  FIRST FULL HR $2,899.24  FIRST FULL HR
$   487.65  ADD'L 1/2 HR $   609.68   ADD'L ½ HR $  731.56 ADD'L ½ HR
     

                                         VAN WERT HEALTH CENTER SURGERY

 
 MINOR  INTERMEDIATE  
 $ 1,258.87  FIRST 1/2  HR  $2,141.73  FIRST FULL HR  
 $    450.88   ADD'L 1/2 HR  $   561.56 ADD'L ½  HR  


 

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.

 DESCRIPTION CHARGES 
 PT EVALUATION          $  195.49
 PT MANUAL THERAPY - PER 15 MIN  $  102.33
 PT RE-EVALUATION $  102.33
 PT EXERCISE - PER 15 MIN $    87.40
 PT THERAPEUTIC ACTIVITY - PER 15 MIN   $    88.43
 PT GAIT TRAINING  $    74.93
 PT NEURO RE-EDUCATION $    87.43
 PT ULTRASOUND - PER 15 MIN  $    48.41
 PT ELECTRIC STIMULATION - PER 15 MIN  $    61.34
 PT IONTOPHORESIS - PER 15 MIN  $  143.17
 PT AQUATICS $    99.52

OCCUPATIONAL THERAPY

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

 DESCRIPTION CHARGES 
 OT EVALUATION          $  190.34
 OT MANUAL THERAPY $  102.33
 OT RE-EVALUATION $    93.88
 OT THERAPEUTIC EXERCISE - PER 15 MIN $    87.40
 OT THERAPEUTIC ACTIVITY - PER 15 MIN   $    88.43
 OT SELF MGM'T - PER 15 MIN $    90.69
 OT NEURO RE-EDUCATION - PER 15 MIN $    87.34
 OT ULTRASOUND - PER 15 MIN  $    48.41
 OT ELECTRICAL STIMULATION  $    85.51
 OT IONTOPHORESIS - PER 15 MIN  $  143.17
 OT PARAFFIN BATH $    27.91
 OT FLUIDOTHERAPY   $    89.27

SPEECH THERAPY CHARGES

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

DESCRIPTION    CHARGES 
SPEECH & HEARING EVALUATION  $  213.16
SWALLOW/DYSPHAGIA EVALUATION  $  213.16
MODIFIED BARIUM SWALLOW EVALUATION  $  385.84
SPEECH/HEARING TREATMENT  $  136.11
SWALLOW/DYSPHAGIA TREATMENT  $  213.16
CONITIVE DEVELOPMENT $    75.22

SLEEP CENTER CHARGES


 
   
   
DESCRIPTION CHARGES
 POLYSOMNOGRAPH  $ 2,052.74
 POLY W/CPAP  $ 2,193.54
 MSLT  $ 1,354.50
 NEW PATIENT SLEEP CLINIC VISIT  $      30.23
 ESTABLISHED PATIENT SLEEP CLINIC VISIT   $      29.87

PULMONARY THERAPY CHARGES


The following charges reflect the hospital’s most common Pulmonary Therapy procedures. Supplies used during your test will be additional. Some tests require a physician to interpret the test, contact the following physician’s regarding their charges for interpretation:  Dr. Battula, Dr. Gardner, Dr. Arabpour: 1-866-359-5915, Dr. Bilodeau, Dr. Nalamolu, Dr. Swint, Dr. Mattison: 1-800-927-2297 or Dr. Jarvis: 419-238-7727. 
   

DESCRIPTION CHARGES
MED. NEB. TREATMENT    $    52.27
NEBULIZER-UPDRAFT  $    28.79
MASK-AEROSOL $    12.88
MED. NEB. INSTALL $    57.58
MDI-INITIAL TREATMENT $    47.07
AEROCHAMBER-MEDISPACER $    40.79
MDI-SUBSEQUENT TREATMENT $    49.75
INCENTIVE SPIROMETRY TREATMENT $    22.71
INCENTIVE SPIROMETRY INSTALL $    52.27
INCENTIVE SPIROMETER $    52.27
OXYGEN INSTALL $    26.16
PULSE OXIMETRY-BEDSIDE CHECK $    44.03
PULSE OXIMETRY-PER DAY  $  145.80
CANNULA-ADULT NASAL $    44.55
MASK-ADULT NON-REBREATHER $    20.39
MASK-VENTURI-ADULT $    16.71
HUMIDIFIER-BUBBLE $    18.57
SENSOR-ADULT $    69.55

 
   
   
HOLTER MONITOR / HOOK-UP  
HOLTER MONITOR 24 or 48 HR READ  $ 169.16
HOLTER MONITOR 24 or 48 HR HOOKUP  $ 491.09
HOLTER MONITOR ANALYSIS (24 & 48)  $ 344.00
ABPM  $ 425.96
SENSOR-ADULT / NEONATAL  $   90.39
OXYGEN CONN 21    $     5.68
OXYGEN CYLINDER TRANSPLANT INPATIENT   $   15.07
CO2 ADULT   $   24.72
ABG-ANALYSIS   $ 184.81
ABG-SAMPLING  $   77.66
PFT-SPIROMETRY ONLY   $ 249.21
PFT-BEDSIDE   $ 249.21
PFT-PRE & POST BRONCHODILATOR   $ 303.85
PFT-FILTER   $   14.96
EKG   $ 148.21
STRESS TEST EKG   $ 491.09
EEG   $ 463.56
NOCTURNAL PULSE OX   $ 138.74
CARDIAC REHAB   $ 130.27
 6 MIN WALK  $ 102.64
PULMONARY REHAB   $ 127.73
CARDIAC EVENT MONITORING   $ 144.92

 

LABORATORY CHARGES


 The following charges reflect the hospital’s most common laboratory procedures.  There will be an additional specimen collection fee charge of $23.35 for each patient encounter/visit. Additional supplies used during your test will be extra. We also offer testing at a discounted price if your payment is received at the time of service with a signed physician order and not submitted to your health insurance. Click here for the Direct Access testing form.  Prices for those tests are listed below.  You will need to indicate at the time of registration if you wish to utilize that service. 
 
DESCRIPTION CHARGES PYMT AT TIME OF SERVICE
CBC W AUTO DIFF $   69.92 $ 25.00
CBC W / OUT AUTO DIFF  $   39.14 $ 20.00
PROTHROMBIN $   24.74  
LIPID PANEL $   78.08 $ 20.00
COMPREHENSIVE METABOLIC PANEL $   89.54 $ 30.00
BASIC METABOLIC PANEL $   66.99 $ 20.00
URINALYSIS $   26.13 $ 15.00
URINALYSIS W /REFLEX  $   26.13 $ 15.00
TSH $ 105.94  
CREATININE $   35.80  
BUN $   24.72  
GLUCOSE $   29.76 $ 10.00
TROPONIN $   65.99  
HEPATIC FUNCTION PANEL $   46.53 $ 25.00
POTASSIUM $   24.72 $ 10.00
T4 FREE $   78.08  
HGB A1C-GLYCOSYLATED $   91.19 $ 20.00
PTT $   30.36  
SODIUM $   24.72  
PSA-TOTAL $   79.89 $ 40.00
CHLORIDE $   24.72  
CO2 $   24.72  
SURG PATH SGL COMP/MT $   82.06  
HCT $   24.72  
ALT $   29.76  
CULTURE URINE $   55.04  
MAGNESIUM $   45.30  
SEDIMENTATION RATE $   27.91  
GGT-GAMMAGLUTAMYL TRANSFER $   39.14  
ELECTROLYTE PANEL $   39.14  
LIPASE $   87.36  
BLOOD TYPE  $   37.03 $ 15.00
CHOLESTEROL   $   35.28 $ 10.00
CRP   $ 126.43 $ 20.00
FERRITIN   $   94.84 $ 25.00
IRON PANEL   $   88.21 $ 25.00
LEAD BLOOD   $   59.51 $ 20.00
PREGNANCY TEST (SERUM)   $   46.68 $ 20.00
RENAL PANEL   $   46.68 $ 25.00
SODIUM   $   24.72  
TESTOSTERONE   $ 120.83 $ 25.00
THYROID PROFILE   $ 184.01 $ 40.00
URIC ACID   $   27.91 $ 10.00


X-RAY AND RADIOLOGICAL CHARGE

 

The following charges reflect the hospital’s most common x-ray and radiological services. Charges do not include the services of the Radiologist or contrast material. We also offer a Pre-Pay MRI service that allows you to pay a discounted price at the time of service without submitting to your health insurance.  Your physician's signature is still needed on this form. Please contact Fort Wayne Radiology to obtain the charges of the Radiologist at 1-800-758-0292.

 

DESCRIPTION CHARGES
ADENOSINE CARDIOLITE STRESS  $ 3172.65
ARTERIAL DOPPLER LOWER EXTREMITY  $   340.93
BONE SCAN COMPLETE  $   566.14
BSGI LYMPH NODE IMAGING  $   638.61
BSGI TUMOR LOCALIZATION BREAST  $ 1301.82
CHEST 1 VIEW  $     99.72
CHEST-PA AND LATERAL (HOSPITAL) $   126.40
CHEST-PA AND LATERAL (HC)  $   126.40
CT-ABDOMEN - W/CONTRAST $ 2055.84
CT-ABDOMEN/PELVIS (STONE PROTOCOL) $ 1856.42
CT ABDOMEN W/ or W/O CONTRAST $ 2564.99
CT-HEAD W/O CONTRAST $   613.10
CTA CHEST (PE PROTOCOL) $ 1870.69
DEXA SCAN / BONE DENSITY $   360.02
ECHOCARFIOGRAM W/DOPPLER $ 1349.92
FOOT COMPLETE $   193.40
HEPATOBILIARY SCAN W/CCK $ 1433.86
EXISCAN CARDIOLOITE STRESS $ 3172.25
MAMMO DIAGNOSTIC (DIGITAL) W/CAD $   384.89
MAMMO SCREENING DIGITAL W/CAD $   335.77
MRI BRAIN W/ and W/O CONTRAST $ 3306.51
MRI BRAIN W/O CONTRAST $ 2202.61
MRI CERVICAL SPINE W/O CONTRAST $ 2146.42
MRI KNEE W/O CONTRAST $ 2087.95
MRI SHOULDER W/O CONTRAST $ 2087.99
OBSTRUCTIVE SERIES (ABDOMEN SERIES) $   260.39
PELVIS-AP (1 or 2 VIEWS) $   191.33
PET/CT SKULL TO MID THIGH $ 5229.44
PORTABLE CHEST 1 VIEW $     99.72
STEROTACTIC BREAST BIOPSY $ 3004.42
STRESS ECHO W/DOPPLER $ 1897.63
ULTRASOUND TRANSVAGINAL $   232.60
ULTRASOUND VENOUS PVD LOWER EXTREMITY $   327.45
ULTRASOUND ABDOMEN LIMITED $   491.77
ULTRASOUND KIDNEYS $   387.64
ULTRASOUND-OB COMPLETE AFTER 1ST TRI $   358.89
ULTRASOUND TRANSVAGINAL (OB) $   275.01