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 3/31/2020. 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

$1,119
$1,746

36% lower than market

Semi-Private Room

$1,119
$1,746

36% lower than market

Intensive Care Unit

$2,703
$2,933

8% 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

$260
$288

10% lower than market

Emergency Department Visit - Level 2

$445
$596

25% lower than market

Emergency Department Visit - Level 3

$778
$963

19% lower than market

Emergency Department Visit - Level 4

$1,335
$1,507

11% lower than market

Emergency Department Visit - Level 5

$1,855
$1,978

6% lower than market

Emergency Critical Care, First 30 Minutes

$2,745
$3,181

14% 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

$96
$123

22% lower than market

PT Evaluation - Moderate Complexity

$208
$349

40% lower than market

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

$114
$171

33% lower than market

Physical Therapy 1 or More Regions (15 min)

$80
$168

52% lower than market

Physical Therapy Exercise, 15 Minutes

$100
$169

41% lower than market

Physical Therapy, complex evaluation

$238
$387

38% lower than market

Physical Therapy, re-evaluation

$89
$172

48% lower than market

Physical Therapy, standard evaluation - 20 minutes

$176
$300

41% 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

$188
$377

50% lower than market

Occupational Therapy, standard evaluation - 30 minutes

$162
$325

50% lower than market

Self Care - Home Management Training - 15 Minutes

$82
$142

42% lower than market

Therapeutic Activities Involving Functional Activities (15 min)

$110
$142

22% lower than market

OUTPATIENT SPEECH THERAPY CHARGES

Description

Our Charge
Market Charge

Variance

Evaluation of Speech Sound Production and Language Comprehenson

$330
$581

43% lower than market

Speech Therapy

$219
$377

42% lower than market

Swallow Evaluation

$328
$476

31% lower than market

Swallow Treatment

$150
$342

56% 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 (enzyme) level

$18
$85

78% lower than market

Bacterial urine culture; quantitative colony count

$33
$79

58% lower than market

Bilirubin level (Direct)

$14
$41

65% lower than market

Blood Typing, Rh (D)

$16
$98

83% lower than market

Blood Unit Compatibility Test; Immediate Spin Technique

$154
$221

30% lower than market

Blood glucose (sugar) level after receiving dose of glucose

$13
$58

78% lower than market

Blood test, basic group of blood chemicals

$15
$56

72% lower than market

Blood test, clotting time

$11
$39

71% lower than market

Blood test, comprehensive group of blood chemicals

$21
$77

73% lower than market

Blood test, lipids (cholesterol and triglycerides)

$26
$109

77% lower than market

Blood test, thyroid stimulating hormone (TSH)

$36
$126

72% lower than market

Complete blood cell count - automated differential WBC count

$21
$72

72% lower than market

Complete blood cell count - automated test with out Differential

$15
$64

76% 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

Cyanocobalamin (vitamin B-12) level

$42
$129

68% lower than market

Ferritin (blood protein) level

$70
$135

48% lower than market

Hemoglobin A1C level

$18
$79

77% lower than market

Hepatitis C Antibody Measurement

$78
$138

43% lower than market

Lipase (fat enzyme) level

$19
$93

79% lower than market

Liver function blood test panel

$18
$78

76% lower than market

Measurement C-reactive protein

$22
$56

61% lower than market

PSA (prostate specific antigen) measurement

$36
$131

73% lower than market

Coagulation assessment blood test

$17
$69

75% lower than market

Red blood count, automated test

$36
$45

19% lower than market

Screening Test for Red Blood Cell Antibodies

$18
$120

85% lower than market

Strep Test

$32
$87

63% lower than market

Thyroxine (thyroid chemical) measurement - Free Thyroxine

$26
$84

69% lower than market

Thyroxine (thyroid chemical) measurement - Total

$30
$77

61% lower than market

Total protein level, blood

$21
$61

66% lower than market

Triglycerides level

$16
$107

85% lower than market

Troponin (protein) analysis

$28
$113

75% lower than market

Urea nitrogen level to assess kidney function

$11
$40

72% lower than market

Uric acid level, blood

$15
$42

63% lower than market

Urinalysis with Examination, using Microscope

$9
$43

79% lower than market

Urinalysis, Automated Test

$6
$30

79% lower than market

Vitamin D-3 Level

$145
$236

39% 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

Bone Density Scan (DEXA Scan)

$570
$631

10% lower than market

Breast Ultrasound - Complete

$760
$786

3% lower than market

CT Abdomen & Pelvis with Contrast

$1,100
$3,183

65% lower than market

CT Abdomen & Pelvis with and without Contrast

$1,100
$4,087

73% lower than market

CT Abdomen & Pelvis without Contrast

$1,100
$2,316

52% lower than market

CT Abdomen with Contrast

$1,100
$1,847

40% lower than market

CT Abdomen with and without Contrast

$1,100
$2,463

55% lower than market

CT Abdomen without Contrast

$1,100
$1,621

32% lower than market

CT Angiogram Abdomen & Pelvis with and without Contrast

$1,100
$3,747

71% lower than market

CT Angiogram Abdomen with and without Contrast

$1,100
$2,282

52% lower than market

CT Angiogram Chest with and without Contrast

$1,100
$2,265

51% lower than market

CT Angiogram Head with and without Contrast

$1,100
$2,183

50% lower than market

CT Angiogram Neck with and without Contrast

$1,100
$2,167

49% lower than market

CT Arm with Contrast

$1,100
$1,512

27% lower than market

CT Arm without Contrast

$1,100
$1,668

34% lower than market

CT Chest with Contrast

$1,100
$1,879

41% lower than market

CT Chest without Contrast

$1,100
$1,557

29% lower than market

CT Cranial Cavity without Contrast

$1,100
$2,073

47% lower than market

CT Face without Contrast

$1,100
$1,657

34% lower than market

CT Head Brain with and without Contrast

$1,100
$2,266

51% lower than market

CT Head Brain without Contrast

$1,100
$1,627

32% lower than market

CT Leg without Contrast

$1,100
$1,934

43% lower than market

CT Neck with Contrast

$1,100
$1,843

40% lower than market

CT Neck with and without Contrast

$1,100
$2,510

56% lower than market

CT Neck without Contrast

$1,100
$1,720

36% lower than market

CT Pelvis with Contrast

$1,100
$1,774

38% lower than market

CT Pelvis without Contrast

$1,100
$1,563

30% lower than market

CT Scan of Abdominal Aorta and Both Leg Arteries with Contrast

$1,100
$2,594

58% lower than market

CT Spine Cervical with Contrast

$1,100
$1,739

37% lower than market

CT Spine Cervical without Contrast

$1,100
$1,776

38% lower than market

CT Spine Lumbar with Contrast

$1,100
$2,140

49% lower than market

CT Spine Lumbar without Contrast

$1,100
$1,862

41% lower than market

CT Spine Thoracic without Contrast

$1,100
$1,810

39% lower than market

CT scan of heart blood vessels and grafts with contrast dye

$1,100
$3,073

64% lower than market

CT scan of heart structure with contrast

$1,100
$2,221

50% lower than market

Cardiac testing - stress test with electrocardiogram

$2,997
$3,181

6% lower than market

Chest X-Ray; 2 Views

$215
$339

37% lower than market

Chest X-Ray; Single View

$215
$302

29% lower than market

Diagnostic mammography, bilateral

$205
$485

58% lower than market

Diagnostic mammography, unilateral

$205
$384

47% lower than market

MRA Head without Contrast

$1,100
$2,767

60% lower than market

MRA Neck with and without Contrast

$1,100
$4,413

75% lower than market

MRA Neck without Contrast

$1,100
$2,898

62% lower than market

MRI Abdomen with and without Contrast

$1,100
$3,514

69% lower than market

MRI Abdomen without Contrast

$1,100
$2,754

60% lower than market

MRI Arm Joint without Contrast

$1,100
$2,695

59% lower than market

MRI Brain with Contrast

$1,100
$2,333

53% lower than market

MRI Brain with and without Conrast

$1,100
$3,364

67% lower than market

MRI Brain without Contrast

$1,100
$2,402

54% lower than market

MRI Leg Joint with and without Contrast

$1,100
$4,151

73% lower than market

MRI Leg Joint without Contrast

$1,100
$2,481

56% lower than market

MRI Leg with and without Contrast

$1,100
$3,227

66% lower than market

MRI Leg without Contrast

$1,100
$2,956

63% lower than market

MRI Orbit, Face, Neck with and without Contrast

$1,100
$4,004

73% lower than market

MRI Pelvis with and without Contrast

$1,100
$3,818

71% lower than market

MRI Pelvis without Contrast

$1,100
$3,025

64% lower than market

MRI Spine Cervical with and without Contrast

$1,100
$3,642

70% lower than market

MRI Spine Cervical without Contrast

$1,100
$2,477

56% lower than market

MRI Spine Lumbar with and without Contrast

$1,100
$3,351

67% lower than market

MRI Spine Lumbar without Contrast

$1,100
$2,509

56% lower than market

MRI Spine Thoracic with and without Contrast

$1,100
$3,632

70% lower than market

MRI Spine Thoracic without Contrast

$1,100
$2,507

56% lower than market

Screening Mammography, Bilateral, with CAD

$205
$388

47% lower than market

Screening digital breast tomosynthesis, bilateral

$56
$105

46% lower than market

Ultrasound Abdomen - Limited

$691
$803

14% lower than market

Ultrasound Head Neck

$829
$983

16% lower than market

X-Ray Ankle, 2 Views

$215
$665

68% lower than market

X-Ray Ankle, 3 Views

$215
$500

57% lower than market

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

$215
$880

76% lower than market

X-Ray Both Knees

$215
$420

49% lower than market

X-Ray Collar Bone

$215
$399

46% lower than market

X-Ray Elbow, 2 Views

$215
$330

35% lower than market

X-Ray Elbow, 3 Views

$215
$497

57% lower than market

X-Ray Esophagus

$333
$882

62% lower than market

X-Ray Femus, 2 Views

$215
$448

52% lower than market

X-Ray Fingers, 2 Views

$215
$426

50% lower than market

X-Ray Foot, 2 Views

$215
$511

58% lower than market

X-Ray Foot, 3 Views

$215
$497

57% lower than market

X-Ray Forearm, 2 Views

$215
$482

55% lower than market

X-Ray Hand, 2 Views

$215
$434

50% lower than market

X-Ray Hand, 3 Views

$215
$499

57% lower than market

X-Ray Heel, 2 Views

$215
$456

53% lower than market

X-Ray Hip and Pelvis, 1 View

$215
$364

41% lower than market

X-Ray Hip and Pelvis, 2 Views

$215
$459

53% lower than market

X-Ray Knee, 1-2 Views

$215
$462

53% lower than market

X-Ray Knee, 3 Views

$215
$515

58% lower than market

X-Ray Knee, 4 or More Views

$215
$670

68% lower than market

X-Ray Pelvis, 1-2 Views

$215
$440

51% lower than market

X-Ray Pelvis, 2 Views

$215
$489

56% lower than market

X-Ray Pelvis, 3 Views

$215
$500

57% lower than market

X-Ray Ribs One Side, 2 Views

$215
$341

37% lower than market

X-Ray Sacroiliac Joints, 3 or More Views

$215
$375

43% lower than market

X-Ray Shoulder, 1 View

$215
$331

35% lower than market

X-Ray Shoulder, 2 Views

$215
$482

55% lower than market

X-Ray Toes, 2 Views

$215
$449

52% lower than market

X-Ray Upper Arm, 2 Views

$215
$481

55% lower than market

X-Ray Wrist, 2 Views

$215
$322

33% lower than market

X-Ray Wrist, 3 Views

$215
$534

60% 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/.