Fulton County Health Center : Patient Price Information

Patient Price Information
In compliance with state law, Fulton County Health Center 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 January 25, 2008.
Room and Board - Per Day Charges
Coronary care Intensive care Nursery Psychiatric care Obstetric care Routine care	Charges 1,415.00 1,419.00 484.00 1,362.00 713.00 713.00
Emergency Department 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.
Normal Delivery Amniocentesis Fetal Monitor per hour	Charges 1,879.50 392.50 188.50
Emergency Department Charges
Emergency Department 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 Department physicians, who will bill separately for their services.
Level 1 Level 2 Level 3 Level 4 Level 5 Critical care	Charges 162.50 330.00 491.50 653.50 850.00 960.00
Operating Room Charges
Operating Room charges are based on the complexity level, with level 1 being the most basic, for a particular operation There is an initial, set-up charge as well as an additional charge for each 15 minutes while the operation is being performed.
Level 1 Level 2 Level 3 Level 4	Set-Up Charge Additional 15-Minute Charge 928.00 1,994.50 323.00 2,497.50 398.50 3,000.00 474.50
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.
Aquatic Therapy Electrotherapy - Attended - 15 min Electrotherapy - Unattended - 15 min Evaluation Gait Training - 15 min Hot/Cold Pack w/ Electrotherapy - 15 min Hot/Cold Pack w/ Therapeutic Exe - 15 min Orthotics Training - 15 min Therapeutic Exercises - 15 min Ultrasound - 15 min Whirlpool - Sterile	Charges 79.50 84.00 70.00 162.50 93.00 115.50 98.00 56.50 54.50 64.00 88.00
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.
Aquatic Therapy - 15 min Evaluation - Initial Function Capacity Evaluation - 15 min Hot/Cold Pack w/ Hand Exercises - 15 min Hot/Cold Pack w/ Massage Hot/Cold Pack w/ Ultrasound - 15 min Massage Therapeutic Exercises - 15 min Ultrasound - 15 min	Charges 79.50 162.50 87.50 110.50 108.50 115.50 64.00 54.50 64.00
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.
Aerosol - Initial Aerosol - Subsequent Blood Gases with Co-Ox CPAP - Initial CPAP per day - Subsequent Spirometry - PFT IPPB - Initial IPPB - Subsequent Oximeter single determination Oxygen per day Oxygen RR / ER / OB Post Drainage Perc. - Initial Post & Perc. - Subsequent Resucitation - Initial 1/2 hour	Charges 103.50 48.00 346.00 262.00 746.50 178.50 103.50 50.50 79.00 421.00 87.00 83.50 54.50 258.50
X-Ray and Radiological Charges
The following charges reflect the hospital's 30 most common x-ray and radiological procedures.
Abdomen - KUB or Flat Plate Abdomen - Spine & Upright Acute Abdomen Ankle - 2 views Arthrocentesis Aspirin & Injection Barium Enema - Air Contrast Barium Swallow Cervical Spine - 1 view Chest - 1 view (Portable) Chest - 2 views Chest Special View CT Abdomen with / without Contrast CT Head with / without Contrast CT Pelvis with / without Contrast Dorsal Spine Elbow - 2 views Finger - 2 views Fluoroscopic Guide Spine C-Arm Forearm - 2 views Hand - 2 views Hip - A/P and Lateral 2 views IVP Knee - 3 views Lower Leg - 2 views Lumbar Spine - 1 view Mammography - Bilateral screening Rad Ex Sacrum & Cocyk Min 2 views Ribs - Bilateral w/ PA CXR Shoulder - 1 view Skull - 2 views Upper GI Upper GI with Air Contrast Wrist - 2 views	Charges 217.50 312.50 440.50 224.50 171.50 571.50 356.50 224.50 277.50 224.50 96.00 1,670.50 1,626.00 1,670.50 357.00 207.50 198.50 224.50 273.50 224.50 224.50 391.00 265.50 265.50 224.50 155.50 224.50 312.50 224.50 136.50 415.50 551.00 224.50
Laboratory Charges
The following charges reflect the hospital's 30 most common laboratory procedures.
Basic Metabolic Profile Blood Count - Complete Auto & Auto WB Blood Type and Screen BUN CBC with Platelet Cholesterol Complete Metabolic Profile Creatinine - Blood Culture - Routine Digoxin Electrolytes Glucose Hemogram LDH Lipid Profile Lithium Micro I Micro II Micro III Neonatal Bilirubin Pap Smear - Thin Prep Protime PTT Sed Rate SGOT Strept Screen Thyroid Profile TSH Urinalysis	Charges 193.50 93.50 92.00 61.50 93.50 52.00 219.50 61.50 98.00 130.00 136.50 72.50 73.00 60.00 130.00 102.50 114.50 183.50 280.50 61.50 76.00 62.00 73.00 66.00 61.50 56.50 103.00 141.00 61.50
Hospital Billing Policies
FULTON COUNTY HEALTH CENTER PATIENT FINANCIAL POLICY It is the Financial Policy of Fulton County Health Center to maintain a viable healthcare facility, so as to meet the healthcare needs of the community. Therefore, it is the highest financial priority to collect all amounts for services rendered to every patient. FCHC will provide claims to third party insurances as a courtesy for our patients. After all claims have been settled with third party insurance, all balances will be presented to the patient/guarantor for final resolution. Financial assistance is available from both State Agencies, as well as Fulton County Health Center. Upon request, the hospital provides the patient/guarantor assistance in completing the applications for these programs. All balances left unpaid are the responsibility of the patient/guarantor. Payment plans are available based on the following payment criteria: Up to $100 - Balance paid within 30 days $101 to $500 - Balance paid within 6 months $501 to $1,000 - Balance paid within 10 months $1,001 to $2,000 – Balance paid within 16 months Above $2,000 - Balance paid within 24 months As a final solution, FCHC utilizes collection agencies to assist in collecting all monies owed by the patient/guarantor, after all assistance described above has been exhausted. Interest may be charged to the patients balance after an account is in the legal collection process. Interest charges are determined by the collection agency, based on the cost to collect an account.
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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