hospital in Sandusky Ohio

Cost Estimates of Services

For optimal communications with patients, and in compliance with state law, Firelands Regional Medical Center is providing this price list containing our charges for room and board, emergency department, operating room, 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 financial counseling staff at 419-557-7879 to determine whether they qualify for discounts. These prices are correct as of January 2017.

Description of Services

Room & Board Per Day

  • Medical/surgical: $846
  • Medical/surgical telemetry: $1,004
  • Medical/surgical isolation: $1,205
  • Medical/surgical telemetry and isolation: $1,363
  • Pediatric unit: $846
  • Obstetrics birthing room: $846
  • Nursery: $846
  • Coronary care unit: $1,822
  • Psychiatric unit: $1,082
  • Psychiatric unit special care: $1,200
  • Physical rehabilitation unit: $846

Operating Room

Operating Room charges are based on the complexity level, with level 1 being the most basic for a particular operation. There is an initial 15 minute charge, as well as an additional charge for each minute while the operation is being performed. This charge includes the use of some supplies, nursing time, room time and other items to perform the surgery.

  • OR time charge class 1 - Initial 15 minutes: $1,361
  • OR time charge class 1 - Each additional minute: $28
  • OR time charge class 2 - Initial 15 minutes: $2,044
  • OR time charge class 2 - Each additional minute: $39
  • OR time charge class 3 - Initial 15 minutes: $2,725
  • OR time charge class 3 - Each additional minute: $50
  • OR time charge class 4 - Initial 15 minutes: $2,994
  • OR time charge class 4 - Each additional minute: $64
  • OR time charge class 5 - Initial 15 minutes: $3,422
  • OR time charge class 5 - Each additional minute: $76

Recovery Room

  • Recovery room phase 1 Level 2: $11 per minute
  • Recovery room phase 1 Level 3: $13 per minute
  • Recovery room phase 1 Level 4: $15 per minute

Anesthesia

Physician fees for anesthesiologists as applicable are not included in these charges and will be billed separately by the Anesthesiologist.

  • Anesthesia general IV/per minute: $13

Emergency Room

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. Emergency room physician fees as applicable are not included in these charges and will be billed separately by the emergency room physician.

  • Emergency room level 1: $124
  • Emergency room level 2: $166
  • Emergency room level 3: $279
  • Emergency room level 4: $525
  • Emergency room level 5: $734
  • Critical care: $1,338

Laboratory

The following charges reflect the hospital's most commonly scheduled outpatient laboratory procedures. Physician fees for the pathologist as applicable are not included in these charges and will be billed separately by the pathologist.

  • 84460 Alt transaminase (SGPT): $62.20
  • 82150 Amylase, blood: $66.20
  • 84450 AST SGOT: $57.40
  • 80048 Basic metabolic: $61.20
  • 36415 Blood drawing charge: $14.40
  • 83880 BNP: $80.40
  • 84520 BUN: $36.60
  • 85025 CBC: $56.90
  • 85027 CBC without diff: $53.60
  • 82553 CKMB quantitative: $80.00
  • 80053 Comp metabolic: $77.70
  • 82550 CPK total: $51.30
  • 82565 Creatinine blood: $36.60
  • 80051 Electrolytes: $49.70
  • 82947 Glucose fasting: $36.60
  • 82947 Glucose random: $36.60
  • 85014 Hematocrit: $26.40
  • 85018 Hemoglobin: $26.40
  • 83036 Hemoglobin A1C: $68.30
  • 80076 Hepatic Function Panel: $58.60
  • 83721 LDL (low density lipoproteins): $87.00
  • 83690 Lipase: $62.80
  • 80061 Lipid: $91.60
  • 83735 Magnesium: $40.50
  • 85610 PT (prothrombin time): $29.90
  • 85730 PTT/APTT: $36.10
  • 85652 Sedimentation rate: $35.70
  • 87186 Sensitivity, MIC: $68.30
  • 84479 T-3 uptake: $44.00
  • 84436 T4, thyroxine: $89.60
  • 84484 Troponin I: $53.40
  • 84443 Thyroid stimulating hormone: $89.60
  • 81003 Urinalysis routine (no micro): $26.30
  • 87086 Urine culture: $44.70

Cardiology

Physician fees for the cardiologist as applicable are not included in these charges and will be billed separately by the cardiologist.

  • 93005 Electrocardiogram: $124
  • 93325 Doppler color flow mapping: $494
  • 93307 Echocardiogram (2-D/m-mode): $677
  • 93320 Echocardiogram (Doppler): $494
  • Cardiac rehab entrance membership per month: $40
  • 93798 Cardiac rehab exercise therapy: $145

Radiology

The following charges reflect the hospital's most commonly scheduled outpatient x-ray and radiological procedures. Physician fees for the radiologist as applicable are not included in these charges and will be billed separately by the radiologist.

  • 74022 Abdomen acute series: $246
  • 73610 Ankle, three views: $187
  • 71020 Chest, two views, P-A & L: $203
  • 71010 Chest, portable one view AP: $187
  • 73630 Foot, three views: $187
  • 73130 Hand minimum three views: $187
  • 73502 Hips 2-3 views w/w/o pelvis: $184
  • 73564 Knee, four views: $208
  • 74000 KUB, one view: $165
  • 72110 Lumbar, routine, six views: $355
  • 77067 Mammography, screen bilateral w/ CAD: $203
  • 77066 Mammography, DX bilateral w/ CAD: $265
  • 72170 Pelvis, one or two views: $175
  • 73030 Shoulder, two or more views: $187
  • 72050 Spine, cervical minimum four views: $355
  • 74160 CT scan, abdomen with contrast: $1,089
  • 70450 CT scan, head without contrast: $826
  • 70470 CT scan, head with and without contrast: $1,159
  • 71260 CT scan, chest with contrast: $1,089
  • 72193 CT scan, pelvis with contrast: $1,090
  • 70553 MRI, brain with and without contrast: $2,917
  • 72148 MRI, spine lumb without contrast: $2,468
  • 72141 MRI, spine cervical without contrast: $2,468
  • 73721 MRI, lower extremity without contrast: $2,109
  • 78815 PET, lung, SPN SB - MT: $4,815
  • 93880 Carotid, duplex Dopscan bilateral: $748
  • 76705 Gallbladder, ultrasound: $437
  • 93971 Venous duplex, unilateral: $707
  • 76645 Breast, unilateral ultrasound: $419
  • 76856 Pelvic ultrasound: $465
  • 78306 Bone imaging, whole body: $1,093

Heart Catheterization/Angiography

Physician fees for heart catheterizations as applicable are not included in these charges and will be billed separately by the physician.

  • 93452 Left heart cath: $3,640
  • 93459 LHC & Coronary angiography with graphs: $9,099
  • 93454 Coronary angiography: $5,862

Respiratory Care

Physician fees as applicable are not included in these charges and will be billed separately by the physician.

  • 94640 Aerosol treatment, initial: $116
  • 82803 Arterial blood gases: $84
  • 94640 IPPB initial: $133
  • 94760 Pulse oximetry—single determination: $65

Physical Therapy

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, per 15 minutes: $69
  • ES unattended: $84
  • ES unattended with hp or cp: $161
  • Gait training, per 15 minutes: $56
  • Manual therapy, per15 minutes: $71
  • Neuromuscular re-education per 15 minutes: $65
  • Self-care/home mgmt, per 15 minutes: $41
  • Therapeutic exercise, per 15 minutes: $69
  • Ultrasound, per 15 minutes: $118
  • Whirlpool: $110

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.

  • Neuromuscular re-education, per 15 minutes: $65
  • Self-care/home mgmt, per 15 minutes: $41
  • Therapeutic activities, per 15 minutes: $65
  • Therapeutic exercise, per 15 minutes: $69
  • Therapy group: $56

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 Healthcare Financial Management Association.

Hospital Billing Information

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. Firelands Regional Medical Center does not charge interest on current remaining balances with our facility. Uninsured or underinsured patients should consult with our financial counseling staff at 419-557-7879 or apply online with our online bill payment to determine whether they qualify for discounts or extended payment arrangements.

Questions?

Firelands Regional Medical Center
1111 Hayes Ave.
Sandusky, OH 44870
419-557-7400

Contact us