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 3/31/18. 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

$1,023
$1,029

1% lower than market

Semi-Private Room

$790
$792

Approximately equal to market

Intensive Care Unit

$2,123
$2,393

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 Critical Care; Each Additional 30 Minutes

$243
$293

17% lower than market

Emergency Critical Care; First 30 Minutes

$1,428
$1,965

27% lower than market

Emergency Department Visit - Level 2

$360
$418

14% lower than market

Emergency Department Visit - Level 3

$570
$722

21% lower than market

Emergency Department Visit - Level 4

$900
$1,175

23% lower than market

Emergency Department Visit - Level 5

$1,200
$1,346

11% 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

$102
$106

4% lower than market

Physical Therapy; complex evaluation

$337
$349

3% lower than market

Physical Therapy; standard evaluation

$249
$308

19% lower than market

PT Evaluation - Moderate Complexity

$293
$342

14% lower than market

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

$129
$132

2% lower than market

Physical Therapy 1 or More Regions (15 min)

$139
$155

10% lower than market

Physical Therapy Exercise; 15 Minutes

$102
$170

40% 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

$377
$421

10% lower than market

Routine EKG - Minimum 12 Leads

$203
$217

6% lower than market

Spirometry - breathing test

$212
$356

41% lower than market

Spirometry - medicated breathing procedure

$365
$562

35% lower than market

Stress Test

$648
$1,680

61% lower than market

OUTPATIENT SPEECH THERAPY CHARGES

Description

Our Charge
Market Charge

Variance

Evaluation of Speech Sound Production and Language Comprehenson

$530
$652

19% lower than market

Speech Therapy

$216
$444

51% lower than market

Swallow Evaluation

$201
$462

56% lower than market

Swallow Treatment

$277
$357

22% 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

Acute Hepatitis Panel

$191
$394

52% lower than market

Amylase

$29
$62

53% lower than market

Analysis for Gastrointestinal Bacteria

$148
$149

1% lower than market

Arterial Blood Gases Measurement

$241
$243

1% lower than market

Bacterial Blood Culture

$125
$156

20% lower than market

Bacterial urine culture; quantitative colony count

$32
$62

48% lower than market

Basic Metabolic Panel

$38
$105

64% lower than market

Bilirubin Level; Direct

$17
$58

71% lower than market

Blood Glucose Scan

$18
$31

44% lower than market

Blood Potassium Level

$25
$45

44% lower than market

Blood Typing; ABO

$55
$69

20% lower than market

Blood Unit Compatibility Test; Antiglobulin Technique

$146
$146

Approximately equal to market

Coagulation Function Measurement; D-dimer; quantitative

$145
$160

9% lower than market

Complete Blood Count

$34
$80

57% lower than market

Complete Blood Count/Differential

$25
$87

71% lower than market

Comprehensive Metabolic Panel

$55
$107

49% lower than market

Copper level

$71
$120

41% lower than market

Creatine Kinase Level

$28
$95

70% lower than market

Cyanocobalamin (Vitamin B-12)

$55
$174

68% lower than market

Cyclosporine level

$171
$242

29% lower than market

Detection test for clostridium difficile

$135
$198

32% lower than market

Ferritin

$68
$133

49% lower than market

Folic Acid Level

$56
$160

65% lower than market

Gonadotropin Analysis

$91
$91

Approximately equal to market

Hemoglobin A1c

$30
$106

72% lower than market

Ionized Calcium

$103
$120

14% lower than market

Ketone body(s) (eg; acetone; acetoacetic acid; beta-hydroxybutyrate); qualitative

$36
$43

17% lower than market

Lactate Dehydrogenase

$28
$60

53% lower than market

Lipid Panel

$40
$131

69% lower than market

Liver Panel

$37
$130

72% lower than market

Magnesium Level

$29
$66

56% lower than market

Measurement of antibody (IgE) to allergic substance

$26
$36

27% lower than market

Immunoassay for analyte other than infectious agent antibody or infectious agent antigen; quantitative; by radioimmunoassay (eg; RIA)

$196
$549

64% lower than market

Microscopic Examination of White Blood Cells with Manual Count

$34
$38

10% lower than market

Natriuretic Peptide

$55
$255

78% lower than market

PSA Measurement; Total

$45
$158

72% lower than market

Parathormone

$167
$338

51% lower than market

Phosphate Level

$15
$50

70% lower than market

Prothrombin Time

$17
$50

66% lower than market

Red Blood Cells; Leukocytes Reduced; Each Unit

$455
$737

38% lower than market

Red Blood Count; Automated Test

$55
$63

13% lower than market

Antihuman globulin test (Coombs test); direct; each antiserum

$86
$88

3% lower than market

Renin (kidney enzyme) level

$171
$215

20% lower than market

Rheumatoid factor level

$68
$72

6% lower than market

Screening Test for Autoimmune Disorder

$39
$94

58% lower than market

Screening Test for Red Blood Cell Antibodies

$106
$115

7% lower than market

Screening test for Pathogenic Organisms

$32
$58

44% lower than market

Sirolimus level

$147
$206

28% lower than market

Thyroid Hormone; T3 Measurement; Free

$101
$154

34% lower than market

Thyroid hormone evaluation

$28
$45

37% lower than market

Thyroxine

$77
$99

22% lower than market

Thyroxine Measurement

$29
$65

55% lower than market

Total Protein Level; Urine

$20
$47

57% lower than market

Triglycerides Level

$140
$176

21% lower than market

Urinalysis with Examination; using Microscope

$15
$45

67% lower than market

Urinalysis; Automated Test

$18
$35

49% lower than market

Vitamin D-3 Level

$141
$217

35% 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

Ultrasound Heart

$1,486
$2,292

35% lower than market

Ultrasound Veins of Both Arms or Legs

$1,185
$1,672

29% lower than market

Ultrasound Veins of One Arm or Leg

$734
$1,090

33% lower than market

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

$748
$1,575

53% lower than market

Bone Density Scan (DEXA Scan)

$315
$456

31% lower than market

CT Abdomen & Pelvis with Contrast

$1,100
$4,282

74% lower than market

CT Abdomen & Pelvis with and without Contrast

$1,100
$4,655

76% lower than market

CT Abdomen & Pelvis without Contrast

$1,100
$3,024

64% lower than market

CT Angiogram Chest with and without Contrast

$1,100
$2,343

53% lower than market

CT Angiogram Head with and without Contrast

$1,100
$2,155

49% lower than market

CT Angiogram Neck with and without Contrast

$1,100
$2,184

50% lower than market

CT Arm without Contrast

$1,100
$1,690

35% lower than market

CT Chest with Contrast

$1,100
$2,257

51% lower than market

CT Chest without Contrast

$1,100
$1,620

32% lower than market

CT Cranial Cavity without Contrast

$1,100
$2,148

49% lower than market

CT Face with Contrast

$1,100
$1,789

39% lower than market

CT Face without Contrast

$1,100
$1,851

41% lower than market

CT Head Brain with and without Contrast

$1,100
$2,276

52% lower than market

CT Head Brain without Contrast

$1,100
$1,698

35% lower than market

CT Neck without Contrast

$1,100
$1,754

37% lower than market

CT Pelvis without Contrast

$1,100
$1,525

28% lower than market

CT Spine Cervical without Contrast

$1,100
$1,955

44% lower than market

CT Spine Lumbar without Contrast

$1,100
$1,873

41% lower than market

CT Spine Thoracic without Contrast

$1,100
$1,813

39% lower than market

CT scan of pelvis before and after contrast

$1,100
$1,100

Approximately equal to market

Cardiac Nuclear Stress Testing

$4,282
$6,450

34% lower than market

Chest X-Ray; 2 Views

$200
$252

21% lower than market

Chest X-Ray; Single View

$200
$259

23% lower than market

MRA Head without Contrast

$1,100
$2,943

63% lower than market

MRI Arm Joint without Contrast

$1,100
$2,640

58% lower than market

MRI Brain with and without Conrast

$1,100
$3,818

71% lower than market

MRI Brain without Contrast

$1,100
$2,600

58% lower than market

MRI Leg Joint without Contrast

$1,100
$2,614

58% lower than market

MRI Pelvis without Contrast

$1,100
$2,266

51% lower than market

MRI Spin Lumbar with and without Contrast

$1,100
$3,717

70% lower than market

MRI Spine Cervical with and without Contrast

$1,100
$3,863

72% lower than market

MRI Spine Cervical without Contrast

$1,100
$2,520

56% lower than market

MRI Spine Lumbar without Contrast

$1,100
$2,622

58% lower than market

MRI Spine Thoracic without Contrast

$1,100
$2,593

58% lower than market

Screening Mammography; Bilateral

$200
$357

44% lower than market

Stomach emptying study

$1,448
$2,343

38% lower than market

Ultrasound Abdomen - Complete

$950
$1,051

10% lower than market

Ultrasound Abdomen - Limited

$677
$793

15% lower than market

Ultrasound Behind Abdominal Cavity - Limited

$745
$947

21% lower than market

Ultrasound Guidance for Insertion of Needle

$814
$1,068

24% lower than market

Ultrasound Head Neck

$387
$781

50% lower than market

Ultrasound Joint Soft Tissue - Complete

$387
$387

Approximately equal to market

Ultrasound Pelvis

$657
$791

17% lower than market

Ultrasound Scrotum

$656
$932

30% lower than market

Ultrasound guidance for accessing into blood vessel

$788
$1,010

22% lower than market

Ultrasound; abdominal aorta; real time with image documenation; screening study for abdominal aortic aneurysm (AAA)

$180
$572

68% lower than market

X-Ray Ankle; 3 Views

$200
$322

38% lower than market

X-Ray Both Hips and Pelvis; 2 Views

$200
$295

32% lower than market

X-Ray Elbow; 3 Views

$200
$314

36% lower than market

X-Ray Esophagus

$521
$590

12% lower than market

X-Ray Foot; 3 Views

$200
$329

39% lower than market

X-Ray Forearm; 2 Views

$200
$433

54% lower than market

X-Ray Hand; 3 Views

$200
$342

41% lower than market

X-Ray Knee; 1-2 Views

$200
$290

31% lower than market

X-Ray Knee; 3 Views

$200
$226

11% lower than market

X-Ray Knee; 4 or More Views

$200
$632

68% lower than market

X-Ray Pelvis; 2 Views

$200
$362

45% lower than market

X-Ray Ribs One Side; 2 Views

$200
$247

19% lower than market

X-Ray Shoulder; 2 Views

$200
$312

36% lower than market

X-Ray Upper Arm; 2 Views

$200
$365

45% lower than market

X-Ray Upper Spine; 4-5 Views

$200
$474

58% lower than market

X-Ray Wrist; 3 Views

$200
$372

46% lower than market

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

$200
$833

76% lower than market

X-Ray of Middle Spine; 3 Views

$200
$484

59% lower than market

X-ray Ribs One Side; Minimum 3 Views

$200
$436

54% lower than market

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

$200
$282

29% lower than market

X-ray of upper digestive tract with contrast

$550
$560

2% 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/.