Patient Price Information List

Disclaimer: Owensboro Health Regional 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 Regional Hospital has partnered with Hospital Pricing Specialists LLC to analyze current charges, based off CMS adjudicated claims through 12/31/18. Owensboro Health Regional 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

Deaconess Midtown Hospital

Evansville

IN

Methodist Hospital

Henderson

KY

Ohio County Hospital

Hartford

KY

Saint Vincent Evansville

Evansville

IN

INPATIENT ROOM AND BOARD DAILY CHARGES

Description

Our Charge
Market Charge

Variance

Private Room

$1,141
$1,325

14% lower than market

Semi-Private Room

$1,055
$1,325

20% lower than market

Intensive Care Unit

$2,545
$2,547

Approximately equal to 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, First 30 Minutes

$3,100
$3,109

Approximately equal to market

Emergency Department Visit - Level 2

$434
$457

5% lower than market

Emergency Department Visit - Level 3

$759
$823

8% lower than market

Emergency Department Visit - Level 4

$1,302
$1,406

7% lower than market

Emergency Department Visit - Level 5

$1,800
$1,836

2% 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
$111

16% lower than market

Physical Therapy, complex evaluation

$233
$400

42% lower than market

Physical Therapy, standard evaluation

$172
$266

35% lower than market

PT Evaluation - Moderate Complexity

$203
$322

37% lower than market

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

$111
$140

21% lower than market

Physical Therapy 1 or More Regions (15 min)

$78
$150

48% lower than market

Physical Therapy Exercise, 15 Minutes

$98
$174

44% lower than market

Physical Therapy, re-evaluation

$84
$86

3% 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, standard evaluation

$158
$261

40% lower than market

Occupational Therapy Evaluation - Moderate Complexity

$183
$314

42% lower than market

Occupational Therapy, re-evaluation

$152
$152

Approximately equal to market

Self Care - Home Management Training - 15 Minutes

$80
$122

34% lower than market

Therapeutic Activities Involving Functional Activities (15 min)

$108
$131

18% lower than market

OUTPATIENT SPEECH THERAPY CHARGES

Description

Our Charge
Market Charge

Variance

Evaluation of Speech Sound Production and Language Comprehenson

$322
$481

33% lower than market

Speech Therapy

$214
$397

46% lower than market

Swallow Evaluation

$320
$439

27% lower than market

Swallow Treatment

$147
$321

54% 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

Amylase

$21
$54

61% lower than market

Bacterial urine culture; quantitative colony count

$32
$62

49% lower than market

Basic Metabolic Panel

$15
$51

70% lower than market

Bilirubin Level; Direct

$14
$41

66% lower than market

Blood Typing, ABO

$19
$94

80% lower than market

Blood Typing, Rh (D)

$77
$93

17% lower than market

Blood Unit Compatibility Test; Immediate Spin Technique

$150
$307

51% lower than market

Complete Blood Count

$15
$51

71% lower than market

Complete Blood Count/Differential

$20
$51

61% lower than market

Comprehensive Metabolic Panel

$20
$70

72% lower than market

Cyanocobalamin (Vitamin B-12)

$41
$110

63% lower than market

Ferritin

$68
$95

29% lower than market

Gammaglobulin Measurement

$35
$54

35% lower than market

Hemoglobin A1c

$18
$63

71% lower than market

Hepatitis C Antibody Measurement

$76
$128

40% lower than market

Iron Level

$27
$48

44% lower than market

Lipase

$19
$61

69% lower than market

Lipid Panel

$25
$86

71% lower than market

Lipoprotein measurement; nuclear resonance spectroscopy

$93
$159

41% lower than market

Liver Panel

$18
$46

61% lower than market

Magnesium Level

$47
$55

15% lower than market

Measurement C-reactive protein

$21
$44

52% lower than market

PSA Measurement; Total

$50
$117

57% lower than market

Prothrombin Time

$11
$26

58% lower than market

Red Blood Count, Automated Test

$35
$36

1% lower than market

Screening Test for Red Blood Cell Antibodies

$18
$85

79% lower than market

Strep Test

$31
$52

41% lower than market

Thyroid Stimulating Hormone (TSH)

$35
$105

67% lower than market

Thyroxine

$25
$75

66% lower than market

Thyroxine Measurement

$29
$53

45% lower than market

Total Protein Level, Blood

$20
$40

50% lower than market

Triglycerides Level

$46
$125

63% lower than market

Troponin

$27
$72

63% lower than market

Urea Nitrogren

$11
$51

79% lower than market

Uric Acid Level, Blood

$15
$30

51% lower than market

Urinalysis with Examination, using Microscope

$9
$31

71% lower than market

Urinalysis, Automated Test

$13
$24

44% lower than market

Urine Microalbumin Level

$56
$57

2% lower than market

Vitamin D-3 Level

$141
$199

29% 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

$3,050
$3,152

3% lower than market

Cardiac testing - stress test with electrocardiogram

$2,924
$3,221

9% lower than market

Bone Density Scan (DEXA Scan)

$573
$573

Approximately equal to market

CT Abdomen & Pelvis with Contrast

$1,100
$2,455

55% lower than market

CT Abdomen & Pelvis with and without Contrast

$1,100
$2,775

60% lower than market

CT Abdomen & Pelvis without Contrast

$1,100
$1,860

41% lower than market

CT Abdomen with Contrast

$1,100
$1,510

27% lower than market

CT Abdomen with and without Contrast

$1,100
$1,771

38% lower than market

CT Abdomen without Contrast

$1,100
$1,331

17% lower than market

CT Angiogram Abdomen & Pelvis with and without Contrast

$1,100
$2,794

61% lower than market

CT Angiogram Abdomen with and without Contrast

$1,100
$2,008

45% lower than market

CT Angiogram Chest with and without Contrast

$1,100
$2,105

48% lower than market

CT Angiogram Head with and without Contrast

$1,100
$1,917

43% lower than market

CT Angiogram Neck with and without Contrast

$1,100
$1,951

44% lower than market

CT Arm with Contrast

$1,100
$1,552

29% lower than market

CT Arm without Contrast

$1,100
$1,355

19% lower than market

CT Chest with Contrast

$1,100
$1,669

34% lower than market

CT Chest without Contrast

$1,100
$1,348

18% lower than market

CT Cranial Cavity without Contrast

$1,100
$1,704

35% lower than market

CT Face without Contrast

$1,100
$1,299

15% lower than market

CT Head Brain with and without Contrast

$1,100
$1,651

33% lower than market

CT Head Brain without Contrast

$1,100
$1,230

11% lower than market

CT Leg without Contrast

$1,100
$1,405

22% lower than market

CT Neck with Contrast

$1,100
$1,661

34% lower than market

CT Neck with and without Contrast

$1,100
$1,712

36% lower than market

CT Neck without Contrast

$1,100
$1,508

27% lower than market

CT Pelvis with Contrast

$1,100
$1,389

21% lower than market

CT Pelvis without Contrast

$1,100
$1,177

7% lower than market

CT Scan of Abdominal Aorta and Both Leg Arteries with Contrast

$1,100
$2,234

51% lower than market

CT Spine Cervical with Contrast

$1,100
$1,422

23% lower than market

CT Spine Cervical without Contrast

$1,100
$1,453

24% lower than market

CT Spine Lumbar with Contrast

$1,100
$1,383

20% lower than market

CT Spine Lumbar without Contrast

$1,100
$1,417

22% lower than market

CT Spine Thoracic without Contrast

$1,100
$1,395

21% lower than market

CT scan of heart blood vessels and grafts with contrast dye

$1,100
$2,922

62% lower than market

CT scan of heart structure with contrast

$1,100
$1,845

40% lower than market

Cardiac Nuclear Stress Testing

$2,865
$5,725

50% lower than market

Chest X-Ray; 2 Views

$210
$291

28% lower than market

Chest X-Ray; Single View

$210
$261

20% lower than market

Diagnostic mammography, bilateral

$200
$370

46% lower than market

Diagnostic mammography, unilateral

$200
$311

36% lower than market

MRA Head without Contrast

$1,100
$2,211

50% lower than market

MRA Neck with and without Contrast

$1,100
$3,046

64% lower than market

MRA Neck without Contrast

$1,100
$1,998

45% lower than market

MRI Abdomen with and without Contrast

$1,100
$3,492

68% lower than market

MRI Abdomen without Contrast

$1,100
$1,944

43% lower than market

MRI Arm Joint without Contrast

$1,100
$1,952

44% lower than market

MRI Brain with Contrast

$1,100
$2,011

45% lower than market

MRI Brain with and without Conrast

$1,100
$2,361

53% lower than market

MRI Brain without Contrast

$1,100
$1,774

38% lower than market

MRI Leg Joint with and without Contrast

$1,100
$2,882

62% lower than market

MRI Leg Joint without Contrast

$1,100
$1,921

43% lower than market

MRI Leg with and without Contrast

$1,100
$2,994

63% lower than market

MRI Leg without Contrast

$1,100
$2,385

54% lower than market

MRI Orbit, Face, Neck with and without Contrast

$1,100
$3,129

65% lower than market

MRI Pelvis with and without Contrast

$1,100
$3,425

68% lower than market

MRI Pelvis without Contrast

$1,100
$2,454

55% lower than market

MRI Spin Lumbar with and without Contrast

$1,100
$2,598

58% lower than market

MRI Spine Cervical with and without Contrast

$1,100
$2,439

55% lower than market

MRI Spine Cervical without Contrast

$1,100
$1,725

36% lower than market

MRI Spine Lumbar without Contrast

$1,100
$1,781

38% lower than market

MRI Spine Thoracic with and without Contrast

$1,100
$2,621

58% lower than market

MRI Spine Thoracic without Contrast

$1,100
$1,795

39% lower than market

Screening Mammography, Bilateral

$200
$317

37% lower than market

Screening digital breast tomosynthesis, bilateral

$55
$124

56% lower than market

Ultrasound Abdomen - Limited

$674
$790

15% lower than market

Ultrasound Head Neck

$809
$945

14% lower than market

X-Ray Ankle, 2 Views

$210
$276

24% lower than market

X-Ray Ankle, 3 Views

$210
$342

39% lower than market

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

$210
$486

57% lower than market

X-Ray Both Knees

$210
$302

30% lower than market

X-Ray Collar Bone

$210
$275

24% lower than market

X-Ray Elbow, 2 Views

$210
$331

36% lower than market

X-Ray Elbow, 3 Views

$210
$349

40% lower than market

X-Ray Esophagus

$210
$624

66% lower than market

X-Ray Fingers, 2 Views

$210
$319

34% lower than market

X-Ray Foot, 2 Views

$210
$400

47% lower than market

X-Ray Foot, 3 Views

$210
$357

44% lower than market

X-Ray Forearm, 2 Views

$210
$385

48% lower than market

X-Ray Hand, 2 Views

$210
$474

58% lower than market

X-Ray Hand, 3 Views

$210
$361

45% lower than market

X-Ray Heel, 2 Views

$210
$323

38% lower than market

X-Ray Hip and Pelvis, 1 View

$210
$225

11% lower than market

X-Ray Hip and Pelvis, 2 Views

$210
$341

41% lower than market

X-Ray Knee, 1-2 Views

$210
$407

51% lower than market

X-Ray Knee, 3 Views

$210
$347

42% lower than market

X-Ray Knee, 4 or More Views

$210
$340

41% lower than market

X-Ray Pelvis, 2 Views

$210
$330

36% lower than market

X-Ray Pelvis, 3 Views

$210
$306

31% lower than market

X-Ray Ribs One Side, 2 Views

$210
$322

38% lower than market

X-Ray Sacroiliac Joints, 3 or More Views

$210
$329

39% lower than market

X-Ray Shoulder, 1 View

$210
$218

4% lower than market

X-Ray Shoulder, 2 Views

$210
$342

39% lower than market

X-Ray Toes, 2 Views

$210
$295

29% lower than market

X-Ray Wrist, 2 Views

$210
$229

8% lower than market

X-Ray Wrist, 3 Views

$210
$381

45% 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/.