Usual and Customary Pricing

In compliance with state law, Western Reserve Hospital is providing this price list containing our charges for Room and Board, Emergency Department, Operating Room, Physical Therapy, Pain Medicine and other procedures. This publication is available upon request when visiting the hospital. The hospital charges are the same for all patients, but a patient's responsibilities may vary, depending on payment plans negotiated with individual health insurers. Please contact our Patient Financial Coordinator at (330) 971-7597 for a customized estimate of patient responsibility based upon your insurance. Regular business hours are Monday - Friday, 8 a.m. – 4:30 p.m.

Western Reserve Hospital offers financial assistance through the Ohio Hospital Care Assurance Program, WRH’s Charity and Uninsured Patient Charity Programs. For information, contact Patient Financial Services at (330) 255-3101. The prices presented below are correct as of Jan. 1, 2017.

Download Patient Price Information here.

Room and Board – Per Day Charges

Medical/Surgical-Semi Private




Telemetry Charge


Intensive Care



Observation - Hourly Charges

Low Complexity


Moderate Complexity


High Complexity


Emergency Department Charges

Emergency Department charges are based on the level of emergency care provided to 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 supplies, drugs or other ancillary procedures that may be required for a particular emergency treatment.  Services provided by emergency physicians will be billed by the physicians.

Emergency Department Charges

Level 1


Level 2


Level 3


Level 4


Level 5


Operating Room Charges

Operating Room charges are based on the complexity level, with minor being the most basic. The following list does not include charges for anesthesia, drugs or supplies required for a particular operating room procedure. Fees for physician services or anesthesia administration are also not included, and will be billed separately by those physicians.

Operating Room Charges

Complexity Level

First Hour Charge

Additional 15




Minor - Complex






Major – Complex




The following charges reflect the most common services offered by these departments of Western Reserve Hospital. Patients may have additional charges, depending on the services performed.

Physical Therapy

Work Conditioning,
each 15 min


Gait Training Therapy,
each 15 min


Therapeutic Procedure,
each 15 min


Group Therapeutic


Aquatic Therapy,
each 15 min


Neuromuscular Therapy, each 15 min


Manual Therapy,
each 15 min


Physical Therapy



Occupational Therapy

Work Conditioning,
each 15 min


Self Care Mgmt Training


Therapeutic Procedure, each 15 min


Functional Capacity




Occupational Therapy



Respiratory Therapy

Mechanical Chest Wall Oscillation


Evaluation of Nebulizer Use


Inhalation Therapy Treatment


Arterial Blood Gas (ABG) Analysis


CO Diffusing Capacity Evaluation


Arterial Puncture Draw for Diagnosis


Evaluation of Bronchospasm


Pulmonary Function Test by Gas


Positive Airway Pressure Ventilation


Ventilation Assist & Mgmt



Sleep Laboratory

Polysomnography, 4 or more Parameters, >6 yrs old


Polysomnography with CPAP/BIPAP, 4 or more Parameters, >6 yrs old



Pain Medicine

New Patient, Office Visit, Level 2


New Patient, Office Visit, Level 3


New Patient, Office Visit, Level 4


New Patient, Office Visit, Level 5


Established Patient, Office Visit Level 1


Established Patient, Office Visit Level 2


Established Patient, Office Visit Level 3


Established Patient, Office Visit Level 4


Established Patient, Office Visit Level 5


Injection, Single or Multiple Trigger Points, 1-2 Muscles


Injection, Single or Multiple Trigger Points, 3 or More Muscles


Aspiration or Injection, Major Joint or Bursa


Injection, Major Joint with Ultrasound


Radiofrequency Ablation


Radiofrequency Ablation, Bilateral


Injection, Paravertebral Facet Joint, Cervical or Thoracic, with Imaging


Injection, Sacroiliac Joint, Anesthetic / Steroid, with Arthrography


Injection, Foramen Epidural, Lumbar or Sacral, Single


Injection, Paravertebral Facet Joint w/ Imaging Guidance, Bilateral


Injection, Epidural or Subcutaneous, Lumbar or Sacral


Other Peripheral Nerve Block


Injection, Cervical or Thoracic, Non-Neurolytic


Greater Occipital Nerve Block, Bilateral


Imaging Services

The following charges reflect the hospital’s 30 most common imaging services.

X-Ray and Radiological Services

CT Abdomen & Pelvis with Contrast


CT Abdomen and Pelvis w/o Contrast


CT Brain w/o Contrast


CT Cervical Spine w/o contrast


CT Chest w/o Contrast


CT Chest with Contrast


CT Maxillofacial w/o Enhance


CTA Chest with & w/o Contrast


MRA - Head w/o Contrast


MRI Brain w/o Contrast


MRI Brain with & w/o Contrast


MRI Spinal Canal Cervical w/o Contrast


MRI Spine Lumbar w/o Contrast


Ultrasound - Transvaginal


Ultrasound Abdomen Complete


Ultrasound Abdomen w/Image


Ultrasound Retroperitoneal Complete


XR Abdomen Single AP View


XR Ankle - 3 or more Views


XR Chest PA & Lateral


XR Chest Single View


XR Foot Complete 3 or More Views


XR Hand 3 or More Views


XR Hip Complete 2 or More Views


XR Knee Complete 4 or More Views


XR Lower Spine 2 or 3 Views


XR Lower Spine 4 or More Views


XR Shoulder 2 or More Views


XR Spine - Cervical 4+ Views


XR Wrist Complete 3+ Views


Laboratory Services

The following charges reflect the hospital’s 30+ most common laboratory procedures.

Laboratory Services

Aerobic Bacterial Blood Cultures


Allergen Specific IGE, each


Auto Erythrocyte Sed Rate


Bacterial Urine Culture, Quant Cnt


Basic Metabolic Panel


Blood Draw Fee


CBC w/o Differential


CBC with Differential


Comprehensive Metabolic Panel


Culture Strep




Free Thyroxine


Gross/Micro Pathology Exam


Hemaglobin AiC






Hepatic Function Panel


Lactic Acid




Lipid Profile




Partial Thromboplastic Time


Phosphorus - Inorganic


Prostate Specific Antigen Screening


Pregnancy Test - Urine HCG


Prothrombin Time


Stain - Gram or Giemsa


Thyroid Stimulating Hormone


Troponin, Quantitative


Urinalysis with Microscopy


Vitamin B-12 Level


Vitamin D 25 Hydroxy


Hospital Billing Policies

Your insurance providers, including Medicare, Medicaid, other primary insurance providers and secondary insurance providers, are billed by Western Reserve Hospital before a bill is sent to you. Interest is not charged on any balance due after insurance payments are received. We will send you a billing statement showing the most current balance owed by your insurance provider, as well as any balance due from you. If you are not able to pay the amount you owe in full, please contact Patient Financial Services at (330) 255-3101 to discuss applying for financial assistance or to arrange for a payment plan. Emergency Services will never be delayed or withheld on the basis of a patient’s ability to pay.