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, 2018.

Download Patient Price Information here.

Room and Board – Per Day Charges

Medical/Surgical-Semi Private

$3,477

Medical/Surgical-Private

$3,597

Telemetry Charge

$6,442

Intensive Care

$7,954

   

Observation - Hourly Charges

Low Complexity

$139

Moderate Complexity

$257

High Complexity

$270



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

$687

Level 2

$891

Level 3

$1,472

Level 4

$2,583

Level 5

$3,760



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
Minutes

Minor

$4,214

$705

Minor - Complex

$10,148

$750

Major

$11,283

$795

Major – Complex

$13,170

$870

 

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

$90

Gait Training Therapy,
each 15 min

$231

Therapeutic Procedure,
each 15 min

$231

Group Therapeutic
Procedure

$250

Aquatic Therapy,
each 15 min

$285

Neuromuscular Therapy, each 15 min

$285

Manual Therapy,
each 15 min

$285

Physical Therapy
Evaluation - Low Complexity

$529

 

Occupational Therapy

Work Conditioning,
each 15 min

$90

Self Care Mgmt Training

$230

Therapeutic Procedure, each 15 min

$231

Manual Therapy, each 15 min

$285

Fluidotherapy

$217

Occupational Therapy
Evaluation - Low Complexity

$529

 

Respiratory Therapy

Mechanical Chest Wall Oscillation

$226

Evaluation of Nebulizer Use

$401

Inhalation Therapy Treatment

$538

Arterial Blood Gas (ABG) Analysis

$566

CO Diffusing Capacity Evaluation

$813

Arterial Puncture Draw for Diagnosis

$1,152

Evaluation of Bronchospasm

$1,214

Pulmonary Function Test by Gas

$1,221

Positive Airway Pressure Ventilation

$1,388

Ventilation Assist & Mgmt

$2,146

 

Sleep Laboratory

Polysomnography, 4 or more Parameters, >6 yrs old

$10,345

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

$9,570

 

Pain Medicine

New Patient, Office Visit, Level 2

$328

New Patient, Office Visit, Level 3

$442

New Patient, Office Visit, Level 4

$518

New Patient, Office Visit, Level 5

$605

Established Patient, Office Visit Level 1

$219

Established Patient, Office Visit Level 2

$298

Established Patient, Office Visit Level 3

$402

Established Patient, Office Visit Level 4

$470

Established Patient, Office Visit Level 5

$550

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

$1,037

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

$1,072

Aspiration or Injection, Major Joint or Bursa

$1,757

Injection, Major Joint with Ultrasound

$1,931

Radiofrequency Ablation

$2,270

Radiofrequency Ablation, Bilateral

$3,405

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

$3,764

Injection, Sacroiliac Joint, Anesthetic / Steroid, with Arthrography

$4,477

Injection, Foramen Epidural, Lumbar or Sacral, Single

$4,477

Injection, Paravertebral Facet Joint w/ Imaging Guidance, Bilateral

$5,811

Injection, Epidural or Subcutaneous, Lumbar or Sacral with Imaging

$6,555

Other Peripheral Nerve Block

$6,555

Greater Occipital Nerve Block, Bilateral

$8,959



Imaging Services

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

X-Ray and Radiological Services

CT Abdomen & Pelvis with Contrast

$10,168

CT Abdomen and Pelvis w/o Contrast

$8,372

CT Brain w/o Contrast

$4,183

CT Cervical Spine w/o contrast

$4,183

CT Chest w/o Contrast

$4,183

CT Chest with Contrast

$4,766

CT Maxillofacial w/o Enhance

$3,943

CTA Chest with & w/o Contrast

$6,991

MRA - Head w/o Contrast

$5,966

MRI Brain w/o Contrast

$7,115

MRI Brain with & w/o Contrast

$10,305

MRI Spinal Canal Cervical w/o Contrast

$5,966

MRI Spine Lumbar w/o Contrast

$5,966

Ultrasound - Transvaginal

$1,505

Ultrasound Abdomen Complete

$1,965

Ultrasound Abdomen w/Image

$1,328

Ultrasound Retroperitoneal Complete

$1,505

XR Abdomen Single AP View

$553

XR Ankle - 3 or more Views

$1,040

XR Chest PA & Lateral

$686

XR Chest Single View

$581

XR Foot Complete 3 or More Views

$1,166

XR Hand 3 or More Views

$777

XR Hip Complete 2 or More Views

$740

XR Knee Complete 4 or More Views

$1,336

XR Lower Spine 2 or 3 Views

$1,129

XR Lower Spine 4 or More Views

$1,336

XR Shoulder 2 or More Views

$715

XR Spine - Cervical 4+ Views

$1,166

XR Wrist Complete 3+ Views

$782



Laboratory Services

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

Laboratory Services

Aerobic Bacterial Blood Cultures

$655

Allergen Specific IGE, each

$153

Auto Erythrocyte Sed Rate

$104

Bacterial Urine Culture, Quant Cnt

$321

Basic Metabolic Panel

$281

Blood Draw Fee

$47

CBC w/o Differential

$198

CBC with Differential

$166

Comprehensive Metabolic Panel

$382

Culture Strep

$267

Ferritin

$335

Free Thyroxine

$323

Gross/Micro Pathology Exam

$627

Hemaglobin AiC

$278

Hematocrit

$93

Hemoglobin

$91

Hepatic Function Panel

$278

Lactic Acid

$308

Lipase

$293

Lipid Profile

$340

Magnesium

$162

Partial Thromboplastic Time

$190

Phosphorus - Inorganic

$128

Prostate Specific Antigen Screening

$332

Pregnancy Test - Urine HCG

$281

Prothrombin Time

$132

Thyroid Stimulating Hormone

$259

Troponin, Quantitative

$400

Urinalysis with Microscopy

$167

Vitamin B-12 Level

$447

Vitamin D 25 Hydroxy

$777


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.