Cost of Services

Cost 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 2014.

Description of Services

Please choose a link below to see the price list for the service.

Room and Board Per Day
  1. Medical/surgical$797
  2. Medical/surgical telemetry$947
  3. Medical/surgical isolation$1,136
  4. Medical/surgical telemetry and isolation$1,284
  5. Pediatric unit$797
  6. Obstetrics birthing room$797
  7. Nursery$797
  8. Coronary care unit$1,717
  9. Psychiatric unit$1,019
  10. Psychiatric unit special care$1,131
  11. Physical rehabilitation unit$797
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.

  1. OR time charge class 1 - Initial 15 minutes$1,282
  2. OR time charge class 1 - Each additional minute$26
  3. OR time charge class 2 - Initial 15 minutes$1,926
  4. OR time charge class 2 - Each additional minute$37
  5. OR time charge class 3 - Initial 15 minutes$2,568
  6. OR time charge class 3 - Each additional minute$48
  7. OR time charge class 4 - Initial 15 minutes$2,822
  8. OR time charge class 4 - Each additional minute$60
  9. OR time charge class 5 - Initial 15 minutes$3,225
  10. OR time charge class 5 - Each additional minute$72
Recovery Room
  1. Recovery room phase 1 Level 2$11
  2. Recovery room phase 1 Level 3$13
  3. Recovery room phase 1 Level 4$15
Anesthesia

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

  1. 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.

  1. Emergency room level 1$117
  2. Emergency room level 2$156
  3. Emergency room level 3$263
  4. Emergency room level 4$495
  5. Emergency room level 5$692
  6. Critical care$1,261
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.

  1. 84460        Alt transaminase (SGPT)$58.60
  2. 82150        Amylase, blood$62.40
  3. 84450        AST SGOT$54.10
  4. 80048        Basic metabolic$57.60
  5. 36415        Blood drawing charge$13.60
  6. 83880        BNP$75.80
  7. 84520        BUN$34.50
  8. 85025        CBC$53.60
  9. 85027        CBC without diff$50.50
  10. 82553        CKMB quantitative$75.40
  11. 80053        Comp metabolic$73.20
  12. 82550        CPK total$48.30
  13. 82565        Creatinine blood$34.50
  14. 80051        Electrolytes$46.90
  15. 82947        Glucose fasting$34.50
  16. 82947        Glucose random$34.50
  17. 85014        Hematocrit$24.90
  18. 85018        Hemoglobin$24.90
  19. 83036        Hemoglobin A1C$64.40
  20. 80076        Hepatic Function Panel$55.20
  21. 83721        LDL (low density lipoproteins)$82.00
  22. 83690        Lipase$59.20
  23. 80061        Lipid$86.30
  24. 83735        Magnesium$38.10
  25. 85610        PT (prothrombin time)$28.10
  26. 85730        PTT/APTT$34.00
  27. 85652        Sedimentation rate$33.70
  28. 87186        Sensitivity, MIC$64.40
  29. 84479        T-3 uptake$41.50
  30. 84436        T4, thyroxine$84.50
  31. 84484        Troponin I$50.30
  32. 84443        Thyroid stimulating hormone$84.50
  33. 81003        Urinalysis routine (no micro)$24.80
  34. 87086        Urine culture$42.10
Cardiology

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

  1. 93005        Electrocardiogram$117
  2. 93325        Doppler color flow mapping$466
  3. 93307        Echocardiogram (2-D/m-mode)$638
  4. 93320        Echocardiogram (Doppler)$466
  5.                   Cardiac rehab entrance membership per month$40
  6. 93798        Cardiac rehab exercise therapy$137
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.

  1. 74022        Abdomen acute series$232
  2. 73610        Ankle, three views$176
  3. 71020        Chest, two views, P-A & L$191
  4. 71010        Chest, portable one view AP$176
  5. 73630        Foot, three views$176
  6. 73130        Hand minimum three views$176
  7. 73510        Hip minimum two views$176
  8. 73564        Knee, four views$196
  9. 74000        KUB, one view$155
  10. 72110        Lumbar, routine, six views$335
  11. 77057        Mammography, screen$157
  12. 77056        Mammography, bilat DX$216
  13. 77051        Mammography, CAD, DX$34
  14. 72170        Pelvis, one or two views$165
  15. 73030        Shoulder, two or more views$176
  16. 72050        Spine, cervical minimum four views$335
  17. 74160        CT scan, abdomen with contrast$1,026
  18. 70450        CT scan, head without contrast$778
  19. 70470        CT scan, head with and without contrast$1,092
  20. 71260        CT scan, chest with contrast$1,026
  21. 72193        CT scan, pelvis with contrast$1,027
  22. 70553        MRI, brain with and without contrast$2,749
  23. 72148        MRI, spine lumb without contrast$2,326
  24. 72141        MRI, spine cervical without contrast$2,326
  25. 73721        MRI, lower extremity without contrast$1,988
  26. 78815        PET, lung, SPN SB - MT$4,538
  27. 93880        Carotid, duplex Dopscan bilateral$705
  28. 76705        Gallbladder, ultrasound$412
  29. 93971        Venous duplex, unilateral$666
  30. 76645        Breast, unilateral ultrasound$289
  31. 76856        Pelvic ultrasound$438
  32. 78306        Bone imaging, whole body$1,030
Heart Catheterization/Angiography

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

  1. 93452        Left heart cath$3,431
  2. 93459        LHC & Coronary angiography with graphs$8,575
  3. 93454        Coronary angiography$5,524
Respiratory Care

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

  1. 94640        Aerosol treatment, initial$77
  2. 82803        Arterial blood gases$139.10
  3. 94640        IPPB initial$70
  4. 94760        Pulse oximetry—single determination$61
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.

  1. Aquatic therapy, per 15 minutes$65
  2. ES unattended$79
  3. ES unattended with hp or cp$151
  4. Gait training, per 15 minutes$52
  5. Manual therapy, per15 minutes$67
  6. Neuromuscular re-education per 15 minutes$61
  7. Self-care/home mgmt, per 15 minutes$39
  8. Therapeutic exercise, per 15 minutes$65
  9. Ultrasound, per 15 minutes$112
  10. Whirlpool$104
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.

  1. Neuromuscular re-education, per 15 minutes$61
  2. Self-care/home mgmt, per 15 minutes$39
  3. Therapeutic activities, per 15 minutes$61
  4. Therapeutic exercise, per 15 minutes$65
  5. Therapy group$52