Patient Price Information List

Disclaimer: Owensboro Health Muhlenburg Community Hospital 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, Owensboro Health Muhlenburg Community Hospital has partnered with Hospital Pricing Specialists LLC to analyze current charges, based off CMS adjudicated claims through 3/31/2020. Owensboro Health Muhlenburg Community Hospital's charges are displayed and compared with the local market charge, consisting of the following hospitals:

Hospital Name
Location

Baptist Health Madisonville

Madisonville

KY

Jennie Stuart Medical Center

Hopkinsville

KY

Methodist Hospital

Henderson

KY

Ohio County Hospital

Hartford

KY

INPATIENT ROOM AND BOARD DAILY CHARGES

Description

Our Charge
Market Charge

Variance

Private Room

$1,154
$1,641

30% lower than market

Semi-Private Room

$1,154
$1,641

30% lower than market

Intensive Care Unit

$2,600
$2,923

11% 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

$259
$279

7% lower than market

Emergency Department Visit - Level 2

$360
$524

31% lower than market

Emergency Department Visit - Level 3

$570
$819

30% lower than market

Emergency Department Visit - Level 4

$870
$1,285

32% lower than market

Emergency Department Visit - Level 5

$1,167
$1,624

28% lower than market

Emergency Critical Care, Each Additional 30 Minutes

$243
$516

53% lower than market

Emergency Critical Care, First 30 Minutes

$1,428
$2,586

45% 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

$94
$113

17% lower than market

PT Evaluation - Moderate Complexity

$293
$343

15% lower than market

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

$129
$167

23% lower than market

Physical Therapy 1 or More Regions (15 min)

$139
$166

17% lower than market

Physical Therapy Exercise, 15 Minutes

$98
$164

40% lower than market

Physical Therapy, complex evaluation

$337
$359

6% 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

$415
$548

24% lower than market

Routine EKG - Minimum 12 Leads

$203
$226

10% lower than market

Spirometry - breathing test

$212
$351

40% lower than market

Spirometry - medicated breathing procedure

$365
$630

42% 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

Bacterial Blood Culture

$125
$178

30% lower than market

Bacterial urine culture; quantitative colony count

$32
$69

53% lower than market

Blood Typing, ABO

$55
$91

39% lower than market

Blood Typing, Rh (D)

$33
$74

55% lower than market

Blood potassium level

$25
$48

47% lower than market

Blood test, basic group of blood chemicals

$38
$86

56% lower than market

Blood test, clotting time

$17
$53

68% lower than market

Blood test, comprehensive group of blood chemicals

$55
$105

48% lower than market

Blood test, lipids (cholesterol and triglycerides)

$40
$126

68% lower than market

Complete blood cell count - automated differential WBC count

$25
$94

73% lower than market

Complete blood cell count - automated test with out Differential

$34
$98

65% lower than market

COVID-19 amplified probe technique test

$95
$128

26% lower than market

COVID-19 antibody test

$95
$95

Approximately equal to market

COVID-19 test with high throughput technologies

$125
$125

Approximately equal to market

Liver function blood test panel

$37
$123

70% lower than market

Magnesium Level

$29
$81

64% lower than market

Measurement of antibody (IgE) to allergic substance

$29
$37

22% lower than market

Microscopic Examination of White Blood Cells with Manual Count

$34
$37

7% lower than market

PSA (prostate specific antigen) measurement

$45
$165

73% lower than market

Parathormone

$167
$305

45% lower than market

Phosphate level

$15
$55

73% lower than market

Thyroid Hormone, T3 Measurement, Free

$100
$169

41% lower than market

Thyroid hormone evaluation

$28
$81

65% lower than market

Total Protein Level, Urine

$20
$68

71% lower than market

Urinalysis with Examination, using Microscope

$15
$48

69% lower than market

Urinalysis, Automated Test

$18
$36

51% lower than market

Vitamin D-3 Level

$141
$213

34% lower than market

OUTPATIENT MEDICINE CHARGES

Description

Our Charge
Market Charge

Variance

Sleep monitoring of patient (6 years or older) in sleep lab

$3,400
$5,065

33% lower than market

OUTPATIENT SURGICAL SERVICES CHARGES

Description

Our Charge
Market Charge

Variance

Colonscopy

$2,090
$2,625

20% 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

CT Abdomen & Pelvis with Contrast

$1,100
$3,814

71% lower than market

CT Abdomen & Pelvis with and without Contrast

$1,100
$5,030

78% lower than market

CT Abdomen & Pelvis without Contrast

$1,100
$3,077

64% lower than market

CT Angiogram Chest with and without Contrast

$1,100
$2,457

55% lower than market

CT Angiogram Head with and without Contrast

$1,100
$2,100

48% lower than market

CT Angiogram Neck with and without Contrast

$1,100
$2,055

46% lower than market

CT Chest with Contrast

$1,100
$2,097

48% lower than market

CT Chest without Contrast

$1,100
$1,628

32% lower than market

CT Cranial Cavity without Contrast

$1,100
$2,279

52% lower than market

CT Face with Contrast

$1,100
$1,937

43% lower than market

CT Face without Contrast

$1,100
$1,901

42% lower than market

CT Head Brain with Contrast

$1,100
$2,604

58% lower than market

CT Head Brain without Contrast

$1,100
$1,790

39% lower than market

CT Neck without Contrast

$1,100
$1,846

40% lower than market

CT Pelvis without Contrast

$1,100
$1,604

31% lower than market

CT Spine Cervical without Contrast

$1,100
$1,990

45% lower than market

CT Spine Lumbar without Contrast

$1,100
$2,090

47% lower than market

CT Spine Thoracic without Contrast

$1,100
$2,012

45% lower than market

Chest X-Ray; 2 Views

$200
$284

30% lower than market

Chest X-Ray; Single View

$200
$259

23% lower than market

MRA Head without Contrast

$1,100
$2,826

61% lower than market

MRI Arm Joint without Contrast

$1,100
$3,096

64% lower than market

MRI Brain with and without Conrast

$1,100
$3,684

70% lower than market

MRI Brain without Contrast

$1,100
$2,616

58% lower than market

MRI Leg Joint without Contrast

$1,100
$2,776

60% lower than market

MRI Spine Cervical with and without Contrast

$1,100
$3,994

72% lower than market

MRI Spine Cervical without Contrast

$1,100
$2,711

59% lower than market

MRI Spine Lumbar without Contrast

$1,100
$2,861

62% lower than market

MRI Spine Thoracic without Contrast

$1,100
$2,737

60% lower than market

Ultrasound Abdomen - Complete

$950
$1,114

15% lower than market

Ultrasound Abdomen - Limited

$677
$810

16% lower than market

Ultrasound Blood Flow Outside the Brain

$984
$1,454

32% lower than market

Ultrasound Guidance for Insertion of Needle

$753
$983

23% lower than market

Ultrasound Head Neck

$387
$843

54% lower than market

Ultrasound Pelvis through Vagina

$650
$768

15% lower than market

Ultrasound Scrotum

$656
$991

34% lower than market

Ultrasound Veins of Both Arms or Legs

$1,185
$1,842

36% lower than market

Ultrasound Veins of One Arm or Leg

$734
$1,327

45% lower than market

Ultrasound limited scan of abdominal, pelvic, and/or scrotal arterial inflow and venous outflow

$556
$1,430

61% lower than market

X-Ray Ankle, 2 Views

$200
$687

71% lower than market

X-Ray Ankle, 3 Views

$200
$461

57% lower than market

X-Ray Both Hips and Pelvis, 2 Views

$200
$294

32% lower than market

X-Ray Both Hips and Pelvis, 3-4 Views

$200
$1,126

82% lower than market

X-Ray Elbow, 2 Views

$200
$230

13% lower than market

X-Ray Elbow, 3 Views

$200
$448

55% lower than market

X-Ray Esophagus

$521
$736

29% lower than market

X-Ray Femus, 2 Views

$200
$402

50% lower than market

X-Ray Fingers, 2 Views

$200
$363

45% lower than market

X-Ray Foot, 2 Views

$200
$395

49% lower than market

X-Ray Foot, 3 Views

$200
$457

56% lower than market

X-Ray Forearm, 2 Views

$200
$445

55% lower than market

X-Ray Hand, 3 Views

$200
$455

56% lower than market

X-Ray Hip and Pelvis, 1 View

$200
$315

36% lower than market

X-Ray Hip and Pelvis, 2 Views

$200
$392

49% lower than market

X-Ray Knee, 1-2 Views

$200
$427

53% lower than market

X-Ray Knee, 3 Views

$200
$452

56% lower than market

X-Ray Knee, 4 or More Views

$200
$606

67% lower than market

X-Ray Lower Leg, 2 Views

$200
$429

53% lower than market

X-Ray Lower Sacral Spine, 2-3 Views

$200
$451

56% lower than market

X-Ray Lower Sacral Spine, 4 or More Views

$200
$808

75% lower than market

X-Ray Pelvis, 1-2 Views

$200
$397

50% lower than market

X-Ray Pelvis, 2 Views

$200
$458

56% lower than market

X-Ray Pelvis, 3 Views

$200
$309

35% lower than market

X-Ray Ribs One Side, 2 Views

$200
$235

15% lower than market

X-Ray Shoulder, 2 Views

$200
$416

52% lower than market

X-Ray Toes, 2 Views

$200
$404

50% lower than market

X-Ray Upper Arm, 2 Views

$200
$444

55% lower than market

X-Ray Upper Spine, 4-5 Views

$200
$715

72% lower than market

X-Ray Wrist, 3 Views

$200
$476

58% lower than market

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

$200
$742

73% lower than market

X-Ray of Middle Spine; 3 Views

$200
$559

64% lower than market

X-ray Ribs One Side, Minimum 3 Views

$200
$569

65% lower than market

BILLING PROCESS AND INFORMATION

OUR BILLING PROCESS AND INFORMATION

Thank you for choosing Owensboro Health for your healthcare needs. As part of our commitment to delivering EXCELLENT service, 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.

• Provide us complete and up-to-date health insurance information

In addition to asking for your health insurance card at your visit, we may ask for a photo ID. If you have been seen at Owensboro Health before, please let us know if your personal or insurance information has changed since your last visit.

• Understand and follow the requirements of your health insurance plan

Understanding your health insurance benefits can be a big help to you and to us! Being familiar with your benefits can help you obtain proper authorizations for services, and make it easier to submit referral claim forms when required. Many insurance plans require patients to pay a copayment or deductible amount for services. Please be prepared to make payments at your visit as defined by your insurance coverage.

• Please respond promptly to any requests from your insurance provider

Your insurance benefits are a contract with your insurance company. Owensboro Health is reimbursed by your insurance, and at times we may need your help to communicate effectively with your insurance company. All bills sent to you are due upon receipt*.

*Owensboro Health does not charge interest on any amount not paid in full during the normal course of collection.

Pricing and Billing Information

Owensboro Health’s goal is for each of our patients and their families to have the best healthcare experience possible. That is why we are committed to providing you with information that helps you make well-informed decisions about your care.

If you have questions or need more information about a bill for services you’ve received or for information about the price of a future service, please contact our Customer Service Team at (270) 685- 7500 or (866) 305-3737, or send an email to FinancialAssistance@OwensboroHealth.org. To ensure the most accurate information possible about the price of a future service, a CPT (Current Procedural Terminology) code will be needed when you call. You can get a CPT code from the provider ordering your test or procedure.

Online Payment, Registration and Scheduling

For the convenience of our patients, Owensboro Health offers secure online payment for Owensboro Health Regional Hospital and Owensboro Health Medical Group bills. Please visit our payment portal online at www.OwensboroHealth.org/Billing.

We offer the option to make appointment requests for the Owensboro Health Medical Group providers through MyChart or online at www.owensborohealth.org.

Patients may also pre-register for surgeries, admissions, outpatient procedures and tests prior to their visit by calling Owensboro Health’s Pre-registration Team at (270) 688-5556.

Financial Assistance

As a not-for-profit health system, Owensboro Health is committed to giving back to our communities. One way we do that is by providing financial assistance to individuals and families who cannot pay for medically necessary healthcare services they receive at our facilities.

Owensboro Health offers financial assistance to patients who do not have health insurance, or those who have out‐of‐pocket costs they cannot afford even with insurance coverage. Patients must submit an application for financial assistance and all required supporting documentation and must follow the requirements of the Financial Assistance Policy. The Financial Assistance Policy can be accessed through a link on our Billing page at www.OwensboroHealth.org/Billing .

Owensboro Health's financial assistance policy includes:

• Accommodating financial assistance guidelines that provide free care for individuals and families who earn less than 300% of the federal poverty level.

• Sliding scale fees to provide substantially discounted care for individuals and families who are between 300-400% of the federal poverty level.

Owensboro Health offers convenient interest-free payment plans up to 36 months to assist our patients. If you are uninsured and have income above the criteria for our financial assistance program, Owensboro Health offers a self-pay discount for your charges.

For additional information, please contact our Patient Financial Advocate Team at (270) 685-7501 or (866) 305-3737. You may also print a financial assistance application on our website at https://www.owensborohealth.org/patient-visitor/about-your-stay/billing/financial-assistance/.