Room & Board Per Day
Medical/Surgical	737.00
Medical/Surgical Telemetry	874.00
Medical/Surgical Isolation	1,049.00
Medical/Surgical Telemetry & Isolation	1,187.00
Pediatric Unit	737.00
Obstetrics Birthing Room	737.00
Nursery	737.00
Coronary Care Unit	1,586.00
Psychiatric Unit	941.00
Psychiatric Unit Special Care	1,044.00
Physical Rehabilitation Unit	737.00

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 I - Initial 15 Minute	1,125.00
OR Time Charge Class I - Each Additional Minute	23.00
OR Time Charge Class II - Initial 15 Minute	1,689.00
OR Time Charge Class II - Each Additional Minute	34.00
OR Time Charge Class III - Initial 15 Minute	2,253.00
OR Time Charge Class III - Each Additional Minute	45.00
OR Time Charge Class IV - Initial 15 Minute	2,476.00
OR Time Charge Class IV - Each Additional Minute	56.00
OR Time Charge Class V - Initial 15 Minute	2,829.00
OR Time Charge Class V - Each Additional Minute	68.00

Recovery Room
Recovery Room Phase I Level 2	8.50
Recovery Room Phase I Level 3	10.50
Recovery Room Phase I Level 4	12.50

Anesthesia
Physician fees for anesthesiologists as applicable are not included in these charges and will be billed separately by the anesthesiologist.
Anesthesia Gen IV/Per Minute	10.50

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 the these charges and will be billed separately by the emergency room physician.
Emergency Room Level I	108.00
Emergency Room Level II	143.00
Emergency Room Level III	242.00
Emergency Room Level IV	458.00
Emergency Room Level V	639.00
Critical Care	1,165.00

Laboratory
The following charges reflect the hospital's 30 most common laboratory procedures. Physician fees for the pathologist as applicable are not included in the these charges and will be billed separately by the pathologist.
Alt Transaminase (SGPT)	54.10
Amylase, Blood	57.60
AST SGOT	50.00
Basic Metabolic	53.20
Blood Drawing Charge	12.50
BNP	49.40
BUN	31.80
CBC	49.50
CBC w/o Diff	46.60
CKMB Quantative	69.70
Comp Metabolic	67.60
CPK Total	44.60
Creatinine Blood	31.80
Electrolytes	43.30
Glucose Fasting	31.80
Glucose Random	31.80
Hematocrit	23.00
Hemoglobin	23.00
Hemoglobin A1C	59.50
Hepatic Function Panel	50.90
LDL (Low Density Lipoproteins)	75.70
Lipase	54.70
Lipid	79.80
Magnesium	35.20
PT (Prothrombin Time)	26.00
PTT/APTT	31.40
Sedimentation Rate	31.10
Sensitivity, MIC	59.50
T-3 Uptake	38.30
T4, Thyroxine	78.00
Troponin I	46.40
TSH - Thyroid Stimulating Hormone	78.00
Urinalysis Rout (No Micro)	22.90
Urine Culture	38.90

Cardiology
Physician fees for the cardiologist as applicable are not included in the these charges and will be billed separately by the cardiologist.
Electrocardiogram	108.00
Doppler Color Flow Mapping	430.00
Echocardiogram (2D/M-Mode)	589.00
Echocardiogram (Doppler)	430.00
Cardiac Rehab Entrance Membership per month	40.00
Cardiac Rehab Exercise Therapy	126.00

Radiology
The following charges reflect the hospital's 30 most common x-ray and radiological procedures. Physician fees for the radiologist as applicable are not included in the these charges and will be billed separately by the radiologist.
Abdomen Acute Series	158.00
Ankle, 3 Views	99.00
Chest, 2 Views, P-A & L	97.00
Chest, Portable 1 View AP	165.00
Foot, 3 Views	99.00
Hand Min 3 Views	99.00
Hip Min 2 Views	99.00
Knee, 4 Views	99.00
KUB, 1 View	89.00
Lumbar, Routine, 6 Views	199.00
Mammography, Screen	144.00
Mammography, Bilat DX	200.00
Mammography, CAD, DX	31.00
Pelvis, 1 or 2 Views	95.00
Shoulder, 2 or More Views	99.00
Spine, Cervical Min 4 Views	199.00
CT Scan Abdomen With Contrast	947.00
CT Scan Head without Contrast	621.00
CT Scan Head with & without Contrast	885.00
CT Scan Chest with Contrast	947.00
CT Pelvis with Contrast	895.00
MRI, Brain with & without Contrast	2,807.00
MRI, Spine Lumb without Contrast	2,149.00
MRI, Spine Cervical without Contrast	2,149.00
MRI Lower Extremity without Contrast	1,836.00
PET Lung, SPN SB - MT	4,194.00
Radiopharmaceutical FDG < 45mci	2,495.00
Carotid Duplex Dopscan Bilateral	651.00
Gallbladder Ultra Sound	323.00
Venous Duplex, Unilateral	614.00
Breast, Unilateral Ultrasound	189.00
Pelvic Ultrasound	340.00
Bone Imaging, Whole Body	971.00

Heart Catheterization/Angiography
Physician fees for heart catheterizations as applicable are not included in the these charges and will be billed separately by the physician.
Left Heart Cath	3,967.00
LHC/Aorta/Graph-I/S	1,222.00
Select Coronary	536.00

Respiratory care
Physician fees as applicable are not included in the these charges and will be billed separately by the physician.
Aerosol Treatment Initial	71.00
Arterial Blood Gases	128.00
IPPB Initial	65.00
Pulse Oximetry - Single Determination	56.00

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 each 15 min	60.00
ES Unattended	72.00
ES Unattended with hp or cp	139.00
Gait Training per 15 min	47.00
Manual Therapy each 15 min	62.00
Neuromuscular Re-education each 15 min	56.00
Self Care/Home Mgmt each 15 min	35.00
Therapeutic Exercise each 15 min	60.00
Ultrasound each 15 min	103.00
Whirlpool	96.00

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 each 15 min	56.00
Self-care/Home Mgmt each 15 min	35.00
Therapeutic Activities each 15 min	56.00
Therapeutic Exercise each 15 min	60.00
Therapy Group	47.00

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. Firleands Regional Medical Center does not charge interest on current remaining balances with our facility. Any patient uninsured or underinsured should consult with our Financial Counseling staff at 419-557-7879, or apply online at www.firelands.com (Pay Bills Online), to determine whether they qualify for discounts, or extended payment arrangements.

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, visit the Consumer Guide to Quality Health Care in Ohio.