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Patient Price Information List

Disclaimer: Hendry Regional Medical Center determines its standard charges for patient items and services through the use of a chargemaster system, which is a list of charges for the components of patient care that go into every patient’s bill. These are the baseline rates for items and services provided at the Hospital. The chargemaster is similar in concept to the manufacturer’s suggested retail price (“MSRP”) on a particular product or good. The charges listed provide only a general starting point in determining the potential costs of an individual patient’s care at the Hospital. This list does not reflect the actual out-of-pocket costs that may be paid by a patient for any particular service, it is not binding, and the actual charges for items and services may vary.

Many factors may influence the actual cost of an item or service, including insurance coverage, rates negotiated with payors, and so on. Government payors, such as Medicare and Medicaid for example, do not pay the chargemaster rates, but rather have their own set rates that hospitals are obligated to accept. Commercial insurance payments are based on contract negotiations with payors and may or may not reflect the standard charges. The cost of treatment also may be impacted by variables involved in a patient’s actual care, such as specific equipment or supplies required, the length of time spent in surgery or recovery, additional tests, or any changes in care or unexpected conditions or complications that arise. Moreover, the foregoing list of charges for services only includes charges from the Hospital. It does not reflect the charges for physicians, such as the surgeon, anesthesiologist, radiologist, pathologist, or other physician specialists or providers who may be involved in providing particular services to a patient. These charges are billed separately.

Individuals with questions about their out-of-pocket costs of service and other financial information should contact the hospital or consider contacting their insurers for further information.

LOCAL MARKET HOSPITALS

In order to present a meaningful comparison, Hendry Regional Medical Center has partnered with Hospital Pricing Specialists LLC to analyze current charges, based off CMS adjudicated claims through 3/31/2020. Hendry Regional Medical Center's charges are displayed and compared with the local market charge, consisting of the following hospitals:

Hospital Name
Location

AdventHealth Wauchula

Wauchula

FL

Fishermen's Community Hospital

Marathon

FL

Lakeside Medical Center

Belle Glade

FL

Lee Memorial Hospital

Fort Myers

FL

Lehigh Regional Medical Center

Lehigh Acres

FL

Palms West Hospital

Loxahatchee

FL

Wellington Regional Medical Center

Wellington

FL

INPATIENT ROOM AND BOARD DAILY CHARGES

Description

Our Charge
Market Charge

Variance

Private Room

$920
$1,865

51% lower than market

Swing Bed

$500
$500

Approximately equal to market

Private Telemetry

$920
$500

84% higher than market

Semi-Private Telemetry

$920
$920

Approximately equal to market

Intensive Care Unit

$1,386
$3,293

58% lower than market

OUTPATIENT EMERGENCY DEPARTMENT CHARGES

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. They also do not include fees for Emergency Department physicians, who will bill separately for their services.

Description

Our Charge
Market Charge

Variance

Emergency Department Visit - Level 1

$169
$659

74% lower than market

Emergency Department Visit - Level 2

$343
$1,003

66% lower than market

Emergency Department Visit - Level 3

$469
$1,421

67% lower than market

Emergency Department Visit - Level 4

$712
$2,031

65% lower than market

Emergency Department Visit - Level 5

$935
$2,976

69% lower than market

OUTPATIENT PHYSICAL THERAPY CHARGES

The following charges reflect the most common services offered by our Physical Therapy department. Patients may have additional charges, depending on the services performed.

Description

Our Charge
Market Charge

Variance

Gait Training - 15 Minutes

$45
$196

77% lower than market

PT Evaluation - Moderate Complexity

$244
$494

51% lower than market

PT to Re-Educate Brain to Muscle Function (15 min)

$82
$243

66% lower than market

Physical Therapy 1 or More Regions (15 min)

$88
$283

69% lower than market

Physical Therapy Exercise, 15 Minutes

$92
$255

64% lower than market

Physical Therapy, standard evaluation - 20 minutes

$244
$440

45% lower than market

OUTPATIENT OCCUPATIONAL THERAPY CHARGES

The following charges reflect the most common services offered by our Occupational Therapy department. Patients may have additional charges, depending on the services performed.

Description

Our Charge
Market Charge

Variance

Occupational Therapy Evaluation - Moderate Complexity

$237
$549

57% lower than market

Occupational Therapy, complex evaluation

$237
$549

57% lower than market

Therapeutic Activities Involving Functional Activities (15 min)

$87
$168

49% lower than market

OUTPATIENT PULMONARY THERAPY CHARGES

The following charges reflect the most common services offered by our Pulmonary Therapy department. Patients may have additional charges, depending on the services performed.

Description

Our Charge
Market Charge

Variance

CPAP Initiation & Management

$390
$1,571

75% lower than market

Routine EKG - Minimum 12 Leads

$114
$500

77% lower than market

Spirometry - medicated breathing procedure

$643
$1,228

48% lower than market

Stress Test with EKG tracing

$679
$2,352

71% lower than market

OUTPATIENT LABORATORY AND PATHOLOGY CHARGES

The following charges reflect our most common laboratory procedures. For all lab specimens collected via blood draw, the venipuncture will be charged separately.

Description

Our Charge
Market Charge

Variance

Albumin (protein) level

$41
$153

73% lower than market

Ammonia level

$84
$248

66% lower than market

Amylase (enzyme) level

$89
$301

71% lower than market

Bacterial Culture for Aerobic Isolates

$40
$209

81% lower than market

Bacterial Culture, Any Source Except Urine, Blood, or Stool

$93
$290

68% lower than market

Bacterial urine culture

$135
$223

39% lower than market

Blood Glucose Scan

$22
$75

71% lower than market

Blood Typing, ABO

$61
$132

54% lower than market

Blood Typing, Rh (D)

$79
$117

32% lower than market

Blood gases measurement

$148
$780

81% lower than market

Blood potassium level

$44
$139

68% lower than market

Blood test, basic group of blood chemicals

$121
$524

77% lower than market

Blood test, clotting time

$43
$240

82% lower than market

Blood test, comprehensive group of blood chemicals

$168
$917

82% lower than market

Blood test, lipids (cholesterol and triglycerides)

$214
$338

37% lower than market

Blood test, thyroid stimulating hormone (TSH)

$125
$404

69% lower than market

Calcium level

$69
$213

68% lower than market

Carcinoembryonic antigen (CEA) protein level

$45
$193

77% lower than market

Coagulation Function Measurement; D-dimer; quantitative

$149
$270

45% lower than market

Complete blood cell count - automated differential WBC count

$112
$239

53% lower than market

Complete blood cell count - automated test with out Differential

$112
$258

56% lower than market

Concentration of specimen for infectious agents

$108
$106

2% higher than market

COVID-19 amplified probe technique test

$110
$77

42% higher than market

Creatine kinase level (cardiac enzyme) - Muscle/Brain

$150
$291

48% lower than market

Creatinine level to test for kidney function or muscle injury

$157
$142

10% higher than market

Cyanocobalamin (vitamin B-12) level

$62
$175

65% lower than market

Digoxin level

$89
$201

56% lower than market

Dihydroxyvitamin D, 1, 25 level

$91
$207

56% lower than market

Drug Test(s) by Chemistry Analyzer

$346
$845

59% lower than market

Drug test(s); includes specimen validity testing, per day; 8-14 drug class(es)

$164
$407

60% lower than market

Folic acid; serum

$60
$177

66% lower than market

Gonadotropin (reproductive hormone) analysis

$84
$296

71% lower than market

Hemoglobin Measurement

$25
$77

68% lower than market

Hepatitis B Antibody Measurement

$36
$79

55% lower than market

Hepatitis C Antibody Measurement

$34
$167

80% lower than market

Infectious agent antigen detection by immunoassay technique, (eg, enzyme immunoassay [EIA], enzyme-linked immunosorbent assay [ELISA], immunochemiluminometric assay [IMCA]) qualitative or semiquantitative, multiple-step metho

$90
$224

60% lower than market

Iron Binding Capacity

$98
$177

45% lower than market

Ketone bodies analysis, quantitative

$136
$363

63% lower than market

Kidney Function Blood Test Panel

$141
$449

69% lower than market

Lactate dehydrogenase (enzyme) level

$65
$217

70% lower than market

Lipase (fat enzyme) level

$65
$308

79% lower than market

Liver function blood test panel

$155
$604

74% lower than market

Magnesium Level

$99
$288

66% lower than market

Measurement C-reactive protein

$66
$142

54% lower than market

Methemoglobin (hemoglobin) analysis

$23
$51

56% lower than market

Natriuretic peptide (heart and blood vessel protein) level

$233
$458

49% lower than market

PSA (prostate specific antigen) measurement

$155
$139

12% higher than market

PSA Measurement; Free

$25
$145

83% lower than market

Parathormone

$99
$300

67% lower than market

Coagulation assessment blood test

$70
$279

75% lower than market

Phenytoin level

$89
$237

63% lower than market

Phosphate level

$65
$191

66% lower than market

Red Blood Cell Concentration Measurement

$25
$93

73% lower than market

Red Blood Cells, Leukocytes Reduced, Each Unit

$223
$721

69% lower than market

Red blood cell sedimentation rate, to detect inflammation; non-automated

$41
$204

80% lower than market

Red blood count, manual test

$90
$203

56% lower than market

SARS-CoV-2 outpatient visit specimen collection

$25
$30

17% lower than market

Screening Test for Red Blood Cell Antibodies

$111
$205

46% lower than market

Special Stain for Microorganism; Gram or Glemsa Stain

$83
$166

50% lower than market

Stool culture - salmonella and shigella species

$193
$254

24% lower than market

Stool analysis for blood to screen for colon tumors

$60
$108

45% lower than market

Test for Influenza Virus

$56
$139

60% lower than market

Testosterone (hormone) level

$62
$127

51% lower than market

Thyroxine (thyroid chemical) measurement - Free Thyroxine

$93
$179

48% lower than market

Total protein level, blood

$60
$213

72% lower than market

Troponin (protein) analysis

$150
$427

65% lower than market

Urea nitrogen level to assess kidney function

$58
$197

71% lower than market

Uric acid level, blood

$65
$243

73% lower than market

Urinalysis with Examination, using Microscope

$89
$248

64% lower than market

Urinalysis, Automated Test

$49
$118

58% lower than market

Urine microalbumin (protein) level

$12
$57

78% lower than market

Valproic acid level

$123
$335

63% lower than market

Vancomycin (antibiotic) level

$202
$303

33% lower than market

Vitamin D-3 Level

$52
$141

63% lower than market

OUTPATIENT MEDICINE CHARGES

Description

Our Charge
Market Charge

Variance

Audiology exam - hearing test

$319
$422

24% lower than market

Determination of lung volumes using gas dilution or washout

$438
$606

28% lower than market

Hydration Infusion into a Vein - 31 Minutes to 1 Hour

$328
$612

46% lower than market

Infusion (Additional) for Therapy, Diagnosis or Prevention

$164
$335

51% lower than market

Infusion into a Vein for Therapy, Diagnosis, or Prevention

$164
$261

37% lower than market

Infusion of Drug or Substance into Vein for Therapy or Diagnosis

$471
$705

33% lower than market

Injection Beneath the Skin for Therapy, Diagnosis, or Prevention

$108
$301

64% lower than market

Injection of Same Drug into Vein for Therapy or Diagnosis

$119
$335

64% lower than market

Moderate sedation services - initial 15 minutes, patient age 5 or older

$521
$1,143

54% lower than market

Vaccine for tetanus and diphtheria toxoids injection into muscle, patient 7 years or older

$110
$194

43% lower than market

Vein Infusion for Therapy, Prevention or Diagnosis, Concurrent with Another Infusion

$164
$268

39% lower than market

OUTPATIENT OBSERVATION CHARGES

Description

Our Charge
Market Charge

Variance

Hospital Observation per Hour

$37
$79

53% lower than market

OUTPATIENT OTHER CHARGES

Description

Our Charge
Market Charge

Variance

Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to g0204 or g0206)

$55
$143

61% lower than market

OUTPATIENT PHARMACY AND DRUG ADMINISTRATION CHARGES

Description

Our Charge
Market Charge

Variance

Administration of 1 Vaccine

$69
$191

64% lower than market

Infusion, normal saline solution, 250 cc

$40
$120

67% lower than market

Infusion, normal saline solution, sterile (500 ml = 1 unit)

$72
$126

43% lower than market

Injection of Drug or Substance into Vein for Therapy or Diagnosis

$119
$355

66% lower than market

Injection of New Drug into Vein for Therapy or Diagnosis

$142
$247

42% lower than market

Injection, dalbavancin, 5 mg

$66
$60

10% higher than market

Injection, denosumab, 1 mg

$85
$117

27% lower than market

Injection, ertapenem sodium, 500 mg

$133
$347

62% lower than market

Injection, iron sucrose, 1 mg

$2
$7

69% lower than market

OUTPATIENT RESPIRATORY THERAPY CHARGES

The following charges reflect the most common services offered by our Respiratory Therapy department. Patients may have additional charges, depending on the services performed.

Description

Our Charge
Market Charge

Variance

Arterial Puncture

$130
$330

61% lower than market

CO Diffusion Capacity

$172
$682

75% lower than market

Nebulizer Treatment

$447
$809

45% lower than market

Pulse Oximetry

$39
$173

77% lower than market

OUTPATIENT SUPPLIES CHARGES

Description

Our Charge
Market Charge

Variance

Slings

$21
$37

45% lower than market

OUTPATIENT SURGICAL SERVICES CHARGES

Description

Our Charge
Market Charge

Variance

Application of Short Arm Splint

$261
$536

51% lower than market

Application of Short Leg Splint (Calf to Foot)

$275
$546

50% lower than market

Application of non-moveable, hinged finger splint

$209
$345

39% lower than market

Biopsy of Large Bowel, Using an Endoscope

$2,081
$6,020

65% lower than market

Biopsy of breast accessed throught the skin with ultrasound guidance; first lesion

$1,770
$6,863

74% lower than market

Biopsy of the Esophagus, Stomach, Using an Endoscope

$1,861
$4,550

59% lower than market

Bladder irrigation and/or instillation

$580
$1,042

44% lower than market

Colonoscopy on High Cancer Risk Patient

$1,709
$3,722

54% lower than market

Colonscopy

$1,709
$3,003

43% lower than market

Colorectal Cancer Screening; Colonoscopy on Non-High Risk Patient

$1,709
$3,420

50% lower than market

Contrast injections for x-ray imaging through existing tube in stomach, small bowel or large bowel,

$443
$779

43% lower than market

Correction, hallux valgus (bunionectomy), with sesamoidectomy, when performed; with first metatarsal and medial cuneiform joint arthrodesis, any method

$11,400
$33,921

66% lower than market

D&C for diagnosis and/or therapy (non-obstetrical)

$3,136
$12,533

75% lower than market

Destruction of lower or sacral spinal facet joint nerves using imaging guidance

$2,223
$3,006

26% lower than market

Drainage of Abscess

$362
$1,217

70% lower than market

Drainage of fluid from abdominal cavity

$1,328
$1,974

33% lower than market

Drainage of multiple abscess

$506
$1,055

52% lower than market

Gallbladder Removal Using an Endoscope

$6,424
$21,303

70% lower than market

Injection(s) of joint with fluoroscopy or CT; lumbar or sacral; second level

$695
$1,096

37% lower than market

Injections of trigger points in 1 or 2 muscles

$294
$496

41% lower than market

Insertion of Breathing Tube Using an Endoscope

$929
$1,265

27% lower than market

Insertion of Central Venous Catheter

$8,200
$15,784

48% lower than market

Insertion of Central Venous Catheter for Infusion

$2,358
$2,432

3% lower than market

Insertion of Indwelling Bladder Catheter

$228
$471

52% lower than market

Insertion of Needle into Vein to Collect Blood

$12
$33

63% lower than market

Insertion of non-tunneled centrally inserted central venous catheter; age 5 years or older

$2,289
$3,006

24% lower than market

Nervous system procedure

$2,185
$8,207

73% lower than market

Placement of breast localization device(s) (eg, clip, metallic pellet, wire/needle, radioactive seeds), percutaneous; each additional lesion, including mammographic guidance

$439
$612

28% lower than market

Placement of breast localization device(s) (eg, clip, metallic pellet, wire/needle, radioactive seeds), percutaneous; first lesion, including mammographic guidance

$641
$2,469

74% lower than market

Removal of central venous catheter for infusion

$709
$3,572

80% lower than market

Removal of cyst at wrist (dorsal or volar); primary

$4,507
$9,682

53% lower than market

Removal of fluid from between lung and chest cavity, open procedure

$571
$813

30% lower than market

Removal of fluid from chest cavity

$584
$2,038

71% lower than market

Removal of fluid-filled sac of elbow

$3,898
$9,337

58% lower than market

Removal of growth (1.1 to 2.0 centimeters) of the scalp, neck, hands, feet, or genitals

$2,774
$14,005

80% lower than market

Removal of growth (4.0 centimeters) of the trunk, arms, or legs

$4,616
$6,432

28% lower than market

Removal of malignant growth (1.1 to 2.0 centimeters) of the trunk, arms, or legs

$965
$4,980

81% lower than market

Removal of malignant growth (2.1 to 3.0 centimeters) of the scalp, neck, hands, feet, or genitals

$2,311
$5,680

59% lower than market

Removal of peripheral venous catheter for infusion

$2,289
$4,626

51% lower than market

Removal of skin and tissue first 20 sq cm or less

$952
$1,130

16% lower than market

Repair of Wound (2.6 to 7.5 centimeters)

$442
$894

51% lower than market

Repair of groin hernia patient age 5 years or older

$4,988
$23,064

78% lower than market

Repair of wound (2.5 centimeters or less) of the scalp, underarms, trunk, arms, and/or legs

$472
$1,999

76% lower than market

Repair of wound (2.6 to 7.5 centimeters) of neck, hands, feet, and/or genitals

$409
$690

41% lower than market

Simple wound repair of face, including ears; 2.5 cm or less

$421
$860

51% lower than market

Simple wound repair of face, including ears; 2.6 cm to 5.0 cm

$488
$893

45% lower than market

Simple wound repair of scalp, neck, external genitalia; 2.5 cm or less

$397
$875

55% lower than market

Transfusion of Blood or Blood Products

$379
$1,453

74% lower than market

OUTPATIENT X-RAY AND RADIOLOGICAL CHARGES

The following charges reflect our most common x-ray and radiological procedures. For all exams requiring contrast, the contrast will be charged separately.

Description

Our Charge
Market Charge

Variance

3D radiographic procedure

$565
$2,001

72% lower than market

Bone Density Scan (DEXA Scan)

$318
$1,176

73% lower than market

Breast Ultrasound - Complete

$480
$836

43% lower than market

CT Abdomen & Pelvis with Contrast

$2,271
$10,586

79% lower than market

CT Abdomen & Pelvis with and without Contrast

$2,271
$8,361

73% lower than market

CT Abdomen & Pelvis without Contrast

$2,271
$9,050

75% lower than market

CT Abdomen with Contrast

$2,839
$5,910

52% lower than market

CT Abdomen with and without Contrast

$3,250
$5,486

41% lower than market

CT Abdomen without Contrast

$2,802
$4,109

32% lower than market

CT Angiogram Abdomen with and without Contrast

$2,953
$5,516

46% lower than market

CT Angiogram Chest with and without Contrast

$3,250
$6,031

46% lower than market

CT Angiogram Head with and without Contrast

$2,461
$5,154

52% lower than market

CT Angiogram Neck with and without Contrast

$2,381
$5,762

59% lower than market

CT Arm with Contrast

$2,275
$5,083

55% lower than market

CT Arm without Contrast

$2,196
$3,253

32% lower than market

CT Chest with Contrast

$2,841
$5,093

44% lower than market

CT Chest with and without Contrast

$3,367
$5,255

36% lower than market

CT Chest without Contrast

$2,679
$4,316

38% lower than market

CT Cranial Cavity with Contrast

$2,164
$4,277

49% lower than market

CT Cranial Cavity without Contrast

$1,910
$4,422

57% lower than market

CT Face with Contrast

$2,539
$4,893

48% lower than market

CT Face without Contrast

$2,439
$4,600

47% lower than market

CT Head Brain with Contrast

$2,554
$5,595

54% lower than market

CT Head Brain with and without Contrast

$2,924
$5,715

49% lower than market

CT Head Brain without Contrast

$2,530
$4,713

46% lower than market

CT Leg with Contrast

$2,275
$4,690

51% lower than market

CT Leg without Contrast

$2,196
$3,820

43% lower than market

CT Neck with Contrast

$2,625
$4,539

42% lower than market

CT Neck with and without Contrast

$2,982
$5,033

41% lower than market

CT Neck without Contrast

$2,391
$3,906

39% lower than market

CT Pelvis without Contrast

$1,805
$4,905

63% lower than market

CT Spine Cervical without Contrast

$2,575
$5,133

50% lower than market

CT Spine Lumbar without Contrast

$2,494
$4,889

49% lower than market

CT Spine Thoracic without Contrast

$1,970
$4,379

55% lower than market

CT scan of face before and after contrast

$2,931
$4,404

33% lower than market

CT scan of pelvis before and after contrast

$2,453
$6,559

63% lower than market

Chest X-Ray; 2 Views

$396
$738

46% lower than market

Chest X-Ray; Single View

$264
$630

58% lower than market

Diagnostic mammography, bilateral

$345
$709

51% lower than market

Diagnostic mammography, unilateral

$260
$578

55% lower than market

Follow-up or limited ultrasound examination of heart

$1,023
$1,262

19% lower than market

Imaging for Evaluation of Swalling Function

$544
$1,344

60% lower than market

Imaging guidance for procedure, up to 1 hour

$512
$1,360

62% lower than market

Imaging of Abdomen and Chest

$626
$1,220

49% lower than market

Imaging of Abdomen; 2 Views

$439
$1,084

60% lower than market

Imaging of Abdomen; Single View

$341
$758

55% lower than market

Imaging of Liver and Bile Duct System with Use of Drugs

$1,473
$2,551

42% lower than market

Low Osmolar Contrast Material, 300-399 mg/ml Iodine Concentration

$1
$4

75% lower than market

Low dose ct scan (ldct) for lung cancer screening

$1,300
$2,007

35% lower than market

MRA Head without Contrast

$2,569
$5,495

53% lower than market

MRA Neck without Contrast

$2,374
$5,566

57% lower than market

MRI Abdomen with and without Contrast

$3,492
$6,786

49% lower than market

MRI Abdomen without Contrast

$2,646
$5,461

52% lower than market

MRI Arm Join with and without Contrast

$3,389
$7,740

56% lower than market

MRI Arm Joint without Contrast

$2,761
$6,106

55% lower than market

MRI Brain with Contrast

$3,322
$6,217

47% lower than market

MRI Brain with and without Conrast

$3,492
$7,949

56% lower than market

MRI Brain without Contrast

$3,255
$5,188

37% lower than market

MRI Leg Joint with and without Contrast

$3,389
$3,837

12% lower than market

MRI Leg Joint without Contrast

$2,761
$4,698

41% lower than market

MRI Leg without Contrast

$2,761
$4,339

36% lower than market

MRI Pelvis with and without Contrast

$3,492
$6,612

47% lower than market

MRI Pelvis without Contrast

$3,152
$4,751

34% lower than market

MRI Spine Cervical without Contrast

$3,574
$5,806

38% lower than market

MRI Spine Lumbar without Contrast

$3,469
$5,345

35% lower than market

MRI Spine Thoracic without Contrast

$3,391
$5,759

41% lower than market

Myocardial Perfusion, Tomographic

$1,730
$5,660

69% lower than market

Nuclear Medicine Study of Lung Ventilation and Blood Circulation in the Lungs

$927
$2,356

61% lower than market

Radiologic examination, hips, bilateral, with pelvis when performed, min of 5 views

$357
$1,416

75% lower than market

Screening Mammography, Bilateral, with CAD

$100
$554

82% lower than market

Screening digital breast tomosynthesis, bilateral

$60
$141

57% lower than market

Ultrasound Abdomen - Complete

$753
$1,979

62% lower than market

Ultrasound Abdomen - Limited

$644
$1,525

58% lower than market

Ultrasound Behind Abdominal Cavity - Complete

$587
$1,366

57% lower than market

Ultrasound Blood Flow Outside the Brain

$906
$1,760

49% lower than market

Ultrasound Guidance for Insertion of Needle

$749
$1,938

61% lower than market

Ultrasound Head Neck

$314
$1,270

75% lower than market

Ultrasound Heart

$846
$4,026

79% lower than market

Ultrasound Pelvis NonOB

$543
$1,674

68% lower than market

Ultrasound Pelvis through Vagina

$537
$1,581

66% lower than market

Ultrasound Pregnant Uterus < 14 Weeks Pregnant

$341
$888

62% lower than market

Ultrasound Scrotum

$664
$1,378

52% lower than market

Ultrasound Veins of Both Arms or Legs

$975
$1,948

50% lower than market

Ultrasound Veins of One Arm or Leg

$731
$1,306

44% lower than market

Ultrasound of Arteries of Both Legs

$683
$1,715

60% lower than market

Ultrasound of Arteries of One Leg

$538
$1,122

52% lower than market

Ultrasound scan of vena cava or groin graft or vessel blood flow

$780
$1,201

35% lower than market

Ultrasound study of arteries and arterial grafts of one arm or limited

$538
$1,121

52% lower than market

Whole Body Bone Scan

$1,475
$3,052

52% lower than market

X-Ray Ankle, 2 Views

$192
$507

62% lower than market

X-Ray Ankle, 3 Views

$351
$956

63% lower than market

X-Ray Elbow, 3 Views

$341
$897

62% lower than market

X-Ray Esophagus

$533
$1,134

53% lower than market

X-Ray Femus, 2 Views

$369
$962

62% lower than market

X-Ray Foot, 2 Views

$217
$474

54% lower than market

X-Ray Foot, 3 Views

$386
$919

58% lower than market

X-Ray Forearm, 2 Views

$325
$843

61% lower than market

X-Ray Hand, 2 Views

$295
$685

57% lower than market

X-Ray Hand, 3 Views

$343
$883

61% lower than market

X-Ray Hip and Pelvis, 2 Views

$341
$892

62% lower than market

X-Ray Knee, 1-2 Views

$314
$546

42% lower than market

X-Ray Knee, 3 Views

$433
$899

52% lower than market

X-Ray Knee, 4 or More Views

$418
$1,104

62% lower than market

X-Ray Lower Leg, 2 Views

$321
$867

63% lower than market

X-Ray Lower Sacral Spine, 2-3 Views

$430
$1,130

62% lower than market

X-Ray Lower Sacral Spine, 4 or More Views

$597
$1,440

59% lower than market

X-Ray Middle Spine, 3 Views

$350
$876

60% lower than market

X-Ray Neck Soft Tissue

$293
$728

60% lower than market

X-Ray Neck Spine, 2-3 Views

$372
$982

62% lower than market

X-Ray Pelvis, 1-2 Views

$279
$724

61% lower than market

X-Ray Pelvis, 2 Views

$349
$876

60% lower than market

X-Ray Pelvis, 3 Views

$308
$925

67% lower than market

X-Ray Ribs One Side, 2 Views

$192
$865

78% lower than market

X-Ray Shoulder Blade

$261
$769

66% lower than market

X-Ray Shoulder, 2 Views

$371
$898

59% lower than market

X-Ray Small Intestine without Contrast

$581
$1,526

62% lower than market

X-Ray Upper Arm, 2 Views

$171
$875

80% lower than market

X-Ray Upper Spine, 4-5 Views

$524
$1,367

62% lower than market

X-Ray Wrist, 2 Views

$266
$543

51% lower than market

X-Ray Wrist, 3 Views

$345
$908

62% lower than market

X-Ray of Both Sides of Ribs, Including Chest, Minimum of 4 Views

$488
$1,211

60% lower than market

X-Ray of Middle Spine; 3 Views

$413
$927

55% lower than market

X-ray Ribs One Side, Minimum 3 Views

$396
$1,100

64% lower than market

X-ray lower and sacral spine including bending views minimum 6 views

$570
$2,038

72% lower than market

X-ray of bones of face, minimum of 3 views

$449
$1,181

62% lower than market

X-ray of both sides of the ribs, 3 views

$294
$1,292

77% lower than market

X-ray of breast bone, minimum of 2 views

$290
$1,088

73% lower than market

X-ray of paranasal sinus, complete, minimum of 3 views

$390
$1,091

64% lower than market

X-ray of skull, complete, minimum of 4 views

$624
$1,464

57% lower than market

X-ray of upper digestive tract, kidneys, urinary ducts (ureters), and bladder

$612
$1,754

65% lower than market

X-ray of upper spine, 6 or more views

$818
$1,605

49% lower than market

INPATIENT MEDICINE CHARGES

Description

Our Charge
Market Charge

Variance

Blood Infection with major complications

$17,369
$71,391

76% lower than market

INPATIENT PULMONOLOGY CHARGES

Description

Our Charge
Market Charge

Variance

Chronic Lung Disease with major complications

$16,391
$44,253

63% lower than market

BILLING PROCESS AND INFORMATION

How You Can Help

Thank you for choosing Hendry Regional Medical Center for your healthcare needs. We want to make understanding and paying your bill as easy as possible. Here are some ways you can help us as we work to make the billing process go smoothly.

• Please give us complete health insurance information.

In addition to your health insurance card, we may ask for a photo ID. If you have been seen at Hendry Regional Medical Center, let us know if your personal information or insurance information has changed since your last visit.

• Please understand and follow the requirements of your health plan.

Be sure to know your benefits, obtain proper authorization for services and submit referral claim forms if necessary. Many insurance plans require patients to pay a co-payment or deductible amount. You are responsible for paying co-payments required by your insurance provider and Hendry Regional Medical Center is responsible for collecting co-payments. Please come to your appointment prepared to make your co-payment.

• Please respond promptly to any requests from your insurance provider.

You may receive multiple bills from your hospital visit, including your family doctor, specialists, physicians that read x-rays, providers that give anesthesia, or physicians that interpret blood work. Insurance benefits are the result of your contract with your insurance company. We are a third-party to those benefits and may need your help with your insurance. If your insurance plan does not pay the bill within 90 days after billing, or your claim is denied, you will receive a statement from Hendry Regional Medical Center indicating the bill is now your responsibility. All bills sent to you are due upon receipt.

Questions about Price and Billing Information

Our goal is for each of our patients and their families to have the best healthcare experience possible. Part of our commitment is to provide you with information that helps you make well informed decisions about your own care.

To ask questions or get more information about a bill for services you've received, please contact our Billing Department at 863-902-3000.

If you need more information about the price of a future service, please contact our Customer Service at 863-902-3000. A physician’s order or CPT code is strongly encouraged when you call to assist us in providing you with the most accurate estimate. You can obtain the CPT code from the ordering physician.