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

$3,311

Medical/Surgical-Private

$3,426

Telemetry Charge

$6,135

Intensive Care

$7,575

   

Observation - Hourly Charges

Low Complexity

$132

Moderate Complexity

$245

High Complexity

$257



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

$645

Level 2

$849

Level 3

$1,402

Level 4

$2,460

Level 5

$3,581



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

$4,013

$675

Minor - Complex

$9,665

$720

Major

$10,746

$750

Major – Complex

$12,543

$825

 

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

$86

Gait Training Therapy,
each 15 min

$220

Therapeutic Procedure,
each 15 min

$220

Group Therapeutic
Procedure

$238

Aquatic Therapy,
each 15 min

$271

Neuromuscular Therapy, each 15 min

$271

Manual Therapy,
each 15 min

$271

Physical Therapy
Evaluation

$555

 

Occupational Therapy

Work Conditioning,
each 15 min

$86

Self Care Mgmt Training

$220

Therapeutic Procedure, each 15 min

$220

Functional Capacity
Evaluation

$271

Fluidotherapy

$207

Occupational Therapy
Evaluation

$566

 

Respiratory Therapy

Mechanical Chest Wall Oscillation

$215

Evaluation of Nebulizer Use

$382

Inhalation Therapy Treatment

$512

Arterial Blood Gas (ABG) Analysis

$539

CO Diffusing Capacity Evaluation

$774

Arterial Puncture Draw for Diagnosis

$1,097

Evaluation of Bronchospasm

$1,156

Pulmonary Function Test by Gas

$1,163

Positive Airway Pressure Ventilation

$1,322

Ventilation Assist & Mgmt

$2,044

 

Sleep Laboratory

Polysomnography, 4 or more Parameters, >6 yrs old

$9,852

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

$9,114

 

Pain Medicine

New Patient, Office Visit, Level 2

$510

New Patient, Office Visit, Level 3

$623

New Patient, Office Visit, Level 4

$806

New Patient, Office Visit, Level 5

$864

Established Patient, Office Visit Level 1

$201

Established Patient, Office Visit Level 2

$234

Established Patient, Office Visit Level 3

$386

Established Patient, Office Visit Level 4

$650

Established Patient, Office Visit Level 5

$742

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

$988

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

$1,021

Aspiration or Injection, Major Joint or Bursa

$1,673

Injection, Major Joint with Ultrasound

$1,839

Radiofrequency Ablation

$2,162

Radiofrequency Ablation, Bilateral

$3,243

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

$3,585

Injection, Sacroiliac Joint, Anesthetic / Steroid, with Arthrography

$4,264

Injection, Foramen Epidural, Lumbar or Sacral, Single

$4,264

Injection, Paravertebral Facet Joint w/ Imaging Guidance, Bilateral

$5,534

Injection, Epidural or Subcutaneous, Lumbar or Sacral

$6,243

Other Peripheral Nerve Block

$6,243

Injection, Cervical or Thoracic, Non-Neurolytic

$6,243

Greater Occipital Nerve Block, Bilateral

$8,532



Imaging Services

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

X-Ray and Radiological Services

CT Abdomen & Pelvis with Contrast

$9,684

CT Abdomen and Pelvis w/o Contrast

$7,973

CT Brain w/o Contrast

$3,984

CT Cervical Spine w/o contrast

$3,984

CT Chest w/o Contrast

$3,984

CT Chest with Contrast

$4,539

CT Maxillofacial w/o Enhance

$3,755

CTA Chest with & w/o Contrast

$6,658

MRA - Head w/o Contrast

$5,682

MRI Brain w/o Contrast

$6,776

MRI Brain with & w/o Contrast

$9,814

MRI Spinal Canal Cervical w/o Contrast

$5,682

MRI Spine Lumbar w/o Contrast

$5,682

Ultrasound - Transvaginal

$1,433

Ultrasound Abdomen Complete

$1,871

Ultrasound Abdomen w/Image

$1,328

Ultrasound Retroperitoneal Complete

$1,433

XR Abdomen Single AP View

$527

XR Ankle - 3 or more Views

$990

XR Chest PA & Lateral

$653

XR Chest Single View

$553

XR Foot Complete 3 or More Views

$1,110

XR Hand 3 or More Views

$740

XR Hip Complete 2 or More Views

$705

XR Knee Complete 4 or More Views

$1,272

XR Lower Spine 2 or 3 Views

$1,075

XR Lower Spine 4 or More Views

$1,272

XR Shoulder 2 or More Views

$681

XR Spine - Cervical 4+ Views

$1,110

XR Wrist Complete 3+ Views

$745



Laboratory Services

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

Laboratory Services

Aerobic Bacterial Blood Cultures

$624

Allergen Specific IGE, each

$146

Auto Erythrocyte Sed Rate

$99

Bacterial Urine Culture, Quant Cnt

$306

Basic Metabolic Panel

$268

Blood Draw Fee

$45

CBC w/o Differential

$189

CBC with Differential

$158

Comprehensive Metabolic Panel

$364

Culture Strep

$258

Ferritin

$285

Free Thyroxine

$308

Gross/Micro Pathology Exam

$597

Hemaglobin AiC

$265

Hematocrit

$89

Hemoglobin

$87

Hepatic Function Panel

$265

Lactic Acid

$293

Lipase

$279

Lipid Profile

$324

Magnesium

$154

Partial Thromboplastic Time

$181

Phosphorus - Inorganic

$122

Prostate Specific Antigen Screening

$268

Pregnancy Test - Urine HCG

$316

Prothrombin Time

$126

Stain - Gram or Giemsa

$138

Thyroid Stimulating Hormone

$247

Troponin, Quantitative

$381

Urinalysis with Microscopy

$159

Vitamin B-12 Level

$426

Vitamin D 25 Hydroxy

$740


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.