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Patient Price Information List

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

Hospital Name
Location

Augusta Health

Fishersville

VA

Bath Community Hospital

Hot Springs

VA

Broaddus Hospital

South Philippi

WV

Davis Medical Center

Elkins

WV

Encompass Health Rehabilitation Hospital of Morgantown

Morgantown

WV

Greenbrier Valley Medical Center

Ronceverte

WV

Hampshire Memorial Hospital

Romney

WV

Jackson General Hospital

Ripley

WV

LewisGale Hospital - Alleghany

Low Moor

VA

Minnie Hamilton Health Care Center

Grantsville

WV

Plateau Medical Center

Oak Hill

WV

Potomac Valley Hospital

Keyser

WV

Preston Memorial Hospital

Kingwood

WV

Summersville Regional Medical Center

Summersville

WV

Webster County Memorial Hospital

Webster Springs

WV

INPATIENT ROOM AND BOARD DAILY CHARGES

Description

Our Charge
Market Charge

Variance

Private Room

$867
$1,055

18% lower than market

Semi-Private Room

$810
$925

12% 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

$124
$190

35% lower than market

Emergency Department Visit - Level 2

$283
$282

1% higher than market

Emergency Department Visit - Level 3

$391
$487

20% lower than market

Emergency Department Visit - Level 4

$570
$683

17% lower than market

Emergency Department Visit - Level 5

$594
$1,276

53% lower than market

Emergency Critical Care, Each Additional 30 Minutes

$412
$554

26% lower than market

Emergency Critical Care, First 30 Minutes

$814
$1,555

48% lower than market

Initial preventative medicine new patient - 65+ years old

$325
$297

9% higher than market

Initial hospital inpatient care, typically 30 minutes per day

$191
$242

21% lower than market

Subsequent nursing facility visit, typically 25 minutes per day

$190
$163

16% higher 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

Application of Electrical Stimulation - 15 Minutes

$71
$84

16% lower than market

Electric Stimulation for Therapy

$64
$102

38% lower than market

Gait Training - 15 Minutes

$77
$96

20% lower than market

PT Evaluation - Moderate Complexity

$191
$347

45% lower than market

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

$77
$101

24% lower than market

Physical Therapy 1 or More Regions (15 min)

$82
$115

29% lower than market

Physical Therapy Exercise, 15 Minutes

$88
$106

17% lower than market

Physical Therapy, complex evaluation

$191
$377

49% lower than market

Physical Therapy, re-evaluation

$103
$185

44% lower than market

Physical Therapy, standard evaluation - 20 minutes

$191
$302

37% lower than market

OUTPATIENT CLINIC CHARGES

Description

Our Charge
Market Charge

Variance

Established patient home visit, typically 15 minutes

$115
$166

31% lower than market

Established patient home visit, typically 25 minutes

$176
$170

4% higher than market

New patient office visit, comprehensive visit

$440
$400

10% higher than market

New patient office visit, standard

$95
$184

48% 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

$191
$298

36% lower than market

Occupational Therapy, complex evaluation

$191
$369

48% lower than market

Occupational Therapy, standard evaluation - 30 minutes

$191
$282

32% lower than market

Paraffin Wax Bath

$46
$62

26% lower than market

Self Care - Home Management Training - 15 Minutes

$72
$111

35% lower than market

Therapeutic Activities Involving Functional Activities (15 min)

$77
$103

26% 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

Aerosol Treatment

$92
$131

30% lower than market

CPAP Initiation & Management

$545
$606

10% lower than market

Holter Testing - 48-Hour EKG

$283
$505

44% lower than market

Pulmonary rehabilitation, including exercise (includes monitoring), one hour, per session, up to two sessions per day

$33
$111

70% lower than market

Stress Test with EKG tracing

$225
$905

75% lower than market

OUTPATIENT SPEECH THERAPY CHARGES

Description

Our Charge
Market Charge

Variance

Evaluation of Speech Sound Production

$200
$371

46% lower than market

Evaluation of Speech Sound Production and Language Comprehenson

$295
$423

30% lower than market

Speech Therapy

$148
$162

9% lower than market

Swallow Evaluation

$262
$245

7% higher than market

Swallow Treatment

$148
$175

16% 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

Ammonia level

$77
$144

47% lower than market

Amylase (enzyme) level

$77
$97

21% lower than market

Arterial Blood Gases Measurement

$89
$223

60% lower than market

Bacterial Blood Culture

$134
$164

18% lower than market

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

$47
$132

64% lower than market

Bacterial urine culture; quantitative colony count

$67
$121

44% lower than market

Blood Glucose Scan

$37
$36

4% higher than market

Blood Typing, ABO

$62
$64

4% lower than market

Blood Typing, Rh (D)

$26
$70

63% lower than market

Blood Unit Compatibility Test; Antiglobulin Technique

$131
$219

40% lower than market

Blood creatinine level

$26
$66

61% lower than market

Blood glucose (sugar) level

$26
$60

56% lower than market

Blood potassium level

$12
$54

78% lower than market

Blood test, basic group of blood chemicals

$85
$144

41% lower than market

Blood test, clotting time

$47
$58

18% lower than market

Blood test, comprehensive group of blood chemicals

$125
$206

39% lower than market

Blood test, lipids (cholesterol and triglycerides)

$105
$145

28% lower than market

Blood test, thyroid stimulating hormone (TSH)

$113
$169

33% lower than market

Coagulation Function Measurement; D-dimer; quantitative

$103
$201

49% lower than market

Complete blood cell count - automated differential WBC count

$50
$80

37% lower than market

Complete blood cell count - automated test with out Differential

$41
$74

45% lower than market

Creatine kinase Level (cardiac enzyme) - Total

$52
$78

33% lower than market

Creatinine level to test for kidney function or muscle injury

$67
$64

5% higher than market

Cyanocobalamin (vitamin B-12) level

$108
$136

21% lower than market

Detection test for clostridium difficile

$173
$229

24% lower than market

Detection test for organism; quantification, each organism

$575
$687

16% lower than market

Digoxin level

$92
$133

31% lower than market

Ferritin (blood protein) level

$43
$132

68% lower than market

Hemoglobin A1C level

$50
$100

50% lower than market

Hemoglobin Measurement

$30
$34

12% lower than market

Iron Binding Capacity

$82
$88

7% lower than market

Iron level

$69
$76

10% lower than market

Lactate dehydrogenase (enzyme) level

$16
$64

75% lower than market

Lactic acid level

$77
$115

33% lower than market

Lipase (fat enzyme) level

$52
$90

42% lower than market

Liver function blood test panel

$88
$154

43% lower than market

Magnesium Level

$59
$89

34% lower than market

Measurement C-reactive protein

$59
$72

18% lower than market

Measurement of Antibody for Assessment of Autoimmune Disorder

$128
$182

30% lower than market

Measurement of antibody (IgE) to allergic substance

$41
$68

40% lower than market

Natriuretic peptide (heart and blood vessel protein) level

$200
$340

41% lower than market

PSA (prostate specific antigen) measurement

$85
$153

44% lower than market

Parathormone

$150
$335

55% lower than market

Coagulation assessment blood test

$67
$89

25% lower than market

Phenytoin level

$82
$143

43% lower than market

Phosphate level

$13
$65

80% lower than market

Red Blood Cell Concentration Measurement

$30
$35

14% lower than market

Red Blood Cells, Leukocytes Reduced, Each Unit

$448
$746

40% lower than market

Red blood cell sedimentation rate, to detect inflammation

$39
$55

29% lower than market

Screening test for Pathogenic Organisms

$57
$90

37% lower than market

Special Stain for Microorganism; Gram or Glemsa Stain

$39
$51

24% lower than market

Stool culture - additional pathogens

$95
$99

4% lower than market

Strep Test

$52
$88

41% lower than market

Tacrolimus Level

$250
$332

25% lower than market

Thyroxine (thyroid chemical) measurement - Free Thyroxine

$80
$115

31% lower than market

Travel allowance one way in connection with medically necessary laboratory specimen collection drawn from home bound or nursing home bound patient; prorated trip charge

$5
$24

80% lower than market

Troponin (protein) analysis

$129
$145

11% lower than market

Urea nitrogen level to assess kidney function

$26
$61

58% lower than market

Uric acid level, blood

$26
$69

62% lower than market

Urinalysis with Examination, using Microscope

$50
$65

24% lower than market

Urine microalbumin (protein) level

$65
$72

9% lower than market

Vitamin D-3 Level

$110
$282

61% lower than market

OUTPATIENT MEDICINE CHARGES

Description

Our Charge
Market Charge

Variance

Administration of vaccine

$21
$59

65% lower than market

Allergy shot - 2 or more injections

$36
$35

4% higher than market

Application of mechanical traction to 1 or more areas

$67
$84

20% lower than market

Application of medication through skin using electrical current, each 15 minutes

$47
$90

48% lower than market

Assessment of expressive and receptive speech with interpretation and report per hour

$293
$273

8% higher than market

Attempt to Restart Heart and Lungs

$801
$966

17% lower than market

Behavioral and qualitative analysis of voice and resonance

$200
$387

48% lower than market

Debridement, open wound; first 20 cm2 or less

$250
$296

16% lower than market

Debridement, open wound; each additional 20cm2 or part thereof

$197
$360

45% lower than market

Demonstration and/or evaluation of manual maneuvers to chest wall to assist movement of lung secreti

$84
$104

20% lower than market

Determination of lung volumes using gas dilution or washout

$274
$280

2% lower than market

Evaluation of heart function using tilt table

$591
$630

6% lower than market

External shock to heart to regulate heart beat

$416
$1,410

70% lower than market

Family psychotherapy including patient

$225
$529

57% lower than market

Hydration Infusion into a Vein

$46
$110

58% lower than market

Hydration Infusion into a Vein - 31 Minutes to 1 Hour

$185
$332

44% lower than market

Infusion (Additional) for Therapy, Diagnosis or Prevention

$97
$184

47% lower than market

Infusion into a Vein for Therapy, Diagnosis, or Prevention

$58
$125

54% lower than market

Infusion of Drug or Substance into Vein for Therapy or Diagnosis

$263
$376

30% lower than market

Infusion of chemotherapy into a vein

$64
$185

65% lower than market

Infusion of drug into vein to dissolve coronary blood clot

$666
$1,015

34% lower than market

Injection of Same Drug into Vein for Therapy or Diagnosis

$36
$113

68% lower than market

Injection or infusion into a vein or artery for therapy, prevention, or diagnosis

$62
$100

38% lower than market

Irrigation of implanted venous access drug delivery device

$46
$133

65% lower than market

Manual maneuvers to chest wall to assist movement of lung secretions

$29
$66

56% lower than market

Measurement of exhaled carbon dioxide gas

$103
$396

74% lower than market

Medical nutrition therapy performed in a group setting, each 30 minutes

$26
$28

7% lower than market

Medical nutrition therapy re-assessment and intervention, each 15 minutes

$44
$41

7% higher than market

Medical nutrition therapy, assessment and intervention, each 15 minutes

$52
$64

19% lower than market

Moderate sedation services - each additional 15 minutes intraservice time

$50
$105

52% lower than market

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

$142
$157

10% lower than market

Negative pressure wound therapy, surface area greater than 50 square centimeters, per session

$110
$278

60% lower than market

Negative pressure wound therapy for ongoing care, per session

$90
$181

50% lower than market

Orthotic(s)/prosthetic(s) management and/or training, upper extremity(ies), lower extremity(ies), and/or trunk, subsequent orthotic(s)/prosthetic(s) encounter, each 15 minutes

$97
$105

8% lower than market

Osteopathic manipulative treatment to 1-2 body regions

$67
$117

43% lower than market

Overnight measurement of oxygen saturation in blood using ear or finger device

$284
$248

14% higher than market

Physical performance test or measurement with report, each 15 minutes

$36
$135

73% lower than market

Physician services for outpatient heart cardiac rehabilitation per session

$52
$130

60% lower than market

Physician services for outpatient heart rehabilitation with continuous EKG monitoring per session

$67
$174

61% lower than market

Psychiatric diagnostic evaluation with medical services

$313
$284

10% higher than market

Psychotherapy, 30 minutes with patient

$140
$181

23% lower than market

Psychotherapy, 45 minutes with patient

$185
$165

12% higher than market

Psychotherapy, 60 minutes with patient

$277
$235

18% higher than market

Pulmonary stress testing, including measurement of heart rate, oximetry and oxygen titration

$102
$192

47% lower than market

Rabies immune globulin (RIg), human, for intramuscular and/or subcutaneous use

$873
$1,388

37% lower than market

Removal of devitalized tissue from wound(s), non-selective debridement without anesthesia

$129
$336

62% lower than market

Respiratory inhaled aerosol treatment to relieve airway obstruction

$42
$36

18% higher than market

Respiratory inhaled aerosol treatment to relieve airway obstruction, first hour

$304
$284

7% higher than market

Standardized thought processing testing, interpretation, and report per hour

$245
$373

34% lower than market

Therapeutic massage to 1 or more areas, each 15 minutes

$67
$67

1% higher than market

Therapeutic procedures in a group setting

$68
$104

35% lower than market

Therapeutic removal of whole blood to correct blood level imbalance

$129
$173

26% lower than market

Training in use of orthotics (supports, braces, or splints) for arms, legs and/or trunk each 15 minu

$88
$150

41% lower than market

Measurement of largest amount of air exhaled from lungs

$144
$132

9% higher than market

Vaccine for rabies injection into muscle

$675
$1,296

48% lower than market

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

$105
$145

28% lower than market

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

$41
$129

68% lower than market

Ventilation assist and management; hospital inpatient/observation, initial day

$545
$1,069

49% lower than market

Water pool therapy with therapeutic exercises to 1 or more areas, each 15 minutes

$129
$120

8% higher than market

OUTPATIENT OBSERVATION CHARGES

Description

Our Charge
Market Charge

Variance

Hospital Observation per Hour

$49
$43

15% higher than market

Hospital observation care discharge

$127
$200

36% lower than market

Hospital observation care typically 30 minutes

$156
$473

67% lower than market

Hospital observation care typically 50 minutes

$236
$330

28% lower than market

Hospital observation care typically 70 minutes per day

$290
$364

20% lower than market

Hospital observation or inpatient care high severity, 55 minutes per day

$328
$596

45% lower than market

Hospital observation or inpatient care low severity, 40 minutes per day

$200
$436

54% lower than market

Hospital observation or inpatient care moderate severity, 50 minutes per day

$263
$462

43% lower than market

Subsequent observation care, typically 15 minutes per day

$85
$99

14% lower than market

Subsequent observation care, typically 25 minutes per day

$155
$149

4% higher than market

OUTPATIENT OTHER CHARGES

Description

Our Charge
Market Charge

Variance

Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit

$242
$202

20% higher than market

Cervical or vaginal cancer screening; pelvic and clinical breast examination

$125
$126

Approximately equal to market

Colorectal cancer screening; fecal occult blood test, immunoassay, 1-3 simultaneous

$33
$30

10% higher than market

Diabetes outpatient self-management training services, group session (2 or more), per 30 minutes

$39
$76

49% lower than market

Diabetes outpatient self-management training services, individual, per 30 minutes

$68
$115

41% lower than market

Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (fluzone)

$25
$21

19% higher than market

Injection of anesthetic agent, trigeminal nerve

$196
$790

75% lower than market

Smoking and tobacco use intensive counseling, greater than 10 minutes

$61
$74

18% lower than market

Smoking and tobacco use intermediate counseling, greater than 3 minutes up to 10 minutes

$35
$35

1% lower than market

Telehealth originating site facility fee

$52
$114

54% lower than market

Therapeutic procedures to improve respiratory function or increase strength or endurance of respiratory muscles, two or more individuals (includes monitoring)

$25
$46

45% lower than market

Trauma response team associated with hospital critical care service

$993
$1,533

35% lower than market

OUTPATIENT PHARMACY AND DRUG ADMINISTRATION CHARGES

Description

Our Charge
Market Charge

Variance

Administration of 1 Vaccine

$35
$63

45% lower than market

Administration of Influenza Virus Vaccine

$15
$49

69% lower than market

Injection of Drug or Substance into Vein for Therapy or Diagnosis

$129
$202

36% lower than market

Injection of New Drug into Vein for Therapy or Diagnosis

$59
$125

53% lower than market

Injection, Azithromycin, 500 mg

$52
$85

39% lower than market

Injection, Fentanyl Citrate, 0.1 mg

$18
$29

38% lower than market

Injection, Furosemide, up to 20 mg

$27
$23

18% higher than market

Injection, Hydromorphone, Up to 4 mg

$26
$31

15% lower than market

Injection, Lorazepam, 2 mg

$18
$34

47% lower than market

Injection, Magnesium Sulfate, per 500 mg

$19
$22

15% lower than market

Injection, Midazolam Hydrochloride, per 1 mg

$4
$14

69% lower than market

Injection, Piperacillin Sodium/Tazobactam (1.125 grams)

$25
$34

27% lower than market

Injection, Promethazine HCL, up to 50 mg

$15
$20

25% lower than market

Injection, alteplase recombinant, 1 mg

$556
$2,352

76% lower than market

Injection, haloperidol, up to 5 mg

$34
$42

20% lower than market

Injection, levetiracetam, 10 mg

$5
$9

39% lower than market

Injection, methylprednisolone sodium succinate, up to 40 mg

$34
$32

5% higher 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

$92
$95

3% lower than market

Nebulizer Treatment

$113
$133

15% lower than market

OUTPATIENT SURGICAL SERVICES CHARGES

Description

Our Charge
Market Charge

Variance

Insertion of Indwelling Bladder Catheter

$204
$247

18% lower than market

Insertion of Needle into Vein to Collect Blood

$11
$24

53% lower than market

Insertion of temporary bladder catheter

$105
$240

56% lower than market

Strapping, Unna boot

$157
$338

54% lower than market

OUTPATIENT TRANSPORTATION CHARGES

Description

Our Charge
Market Charge

Variance

Advanced life support, level 2 (als 2)

$917
$923

1% lower than market

Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency)

$767
$744

3% higher than market

Ambulance service, basic life support, emergency transport (bls-emergency)

$548
$527

4% higher than market

Ground mileage, per statute mile

$13
$13

4% higher 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 without Contrast

$500
$2,595

81% lower than market

CT Chest with Contrast

$750
$1,715

56% lower than market

CT Chest without Contrast

$520
$1,466

65% lower than market

CT Head Brain without Contrast

$300
$1,299

77% lower than market

Chest X-Ray; 2 Views

$267
$266

Approximately equal to market

Chest X-Ray; Single View

$248
$215

16% higher than market

Imaging of Abdomen and Chest

$338
$315

7% higher than market

Imaging of Abdomen; 2 Views

$297
$249

19% higher than market

Imaging of Abdomen; Single View

$255
$239

7% higher than market

Physical Therapy, ultrasound therapy - 15 minutes

$67
$106

37% lower than market

Ultrasound Abdomen - Complete

$698
$769

9% lower than market

Ultrasound Abdomen - Limited

$527
$557

5% lower than market

Ultrasound Behind Abdominal Cavity - Limited

$567
$486

17% higher than market

Ultrasound Heart

$500
$1,742

71% lower than market

Ultrasound Veins of One Arm or Leg

$523
$692

24% lower than market

X-Ray Ankle, 3 Views

$235
$242

3% lower than market

X-Ray Foot, 3 Views

$235
$248

5% lower than market

X-Ray Hip and Pelvis, 2 Views

$255
$224

14% higher than market

X-Ray Knee, 3 Views

$255
$284

10% lower than market

X-Ray Lower Sacral Spine, 2-3 Views

$294
$251

17% higher than market

X-Ray Lower Sacral Spine, 4 or More Views

$307
$389

21% lower than market

X-Ray Shoulder, 2 Views

$255
$235

8% higher than market

INPATIENT CARDIOLOGY CHARGES

Description

Our Charge
Market Charge

Variance

Abnormal or Irregular Heartbeat with complications

$4,000
$14,233

72% lower than market

Acute myocardial infarction, discharged alive with complications

$13,049
$14,032

7% lower than market

Acute myocardial infarction, discharged alive with major complications

$6,476
$19,544

67% lower than market

Acute myocardial infarction, discharged alive without complications

$2,210
$10,904

80% lower than market

Heart Failure with complications

$3,395
$13,133

74% lower than market

Heart failure & shock without complications

$10,511
$10,723

2% lower than market

Other circulatory system diagnoses with complications

$16,836
$16,981

1% lower than market

Peripheral vascular disorders with complications

$12,620
$15,984

21% lower than market

INPATIENT MEDICINE CHARGES

Description

Our Charge
Market Charge

Variance

Blood Infection with major complications

$11,559
$19,516

41% lower than market

Blood infection without major complications

$8,610
$15,864

46% lower than market

Cellulitis with major complications

$6,296
$17,163

63% lower than market

Diabetes without complications

$5,391
$10,505

49% lower than market

Digestive System Bleeding with complications

$3,879
$15,890

76% lower than market

Disorders of the biliary tract with major complications

$10,197
$14,545

30% lower than market

G.I. obstruction with complications

$6,600
$11,197

41% lower than market

G.I. obstruction with major complications

$13,701
$16,707

18% lower than market

G.I. obstruction without complications

$2,571
$9,646

73% lower than market

General symptoms of illness such as fever, pain, shortness of breath

$6,939
$11,959

42% lower than market

Infection of the skin

$8,561
$10,551

19% lower than market

Minor skin disorders without major complications

$4,159
$8,435

51% lower than market

Nutritional & misc metabolic disorders with major complications

$12,242
$14,823

17% lower than market

Nutritional or Metabolic Disorders without major complications

$8,061
$9,669

17% lower than market

Signs & symptoms with major complications

$3,319
$13,730

76% lower than market

Skin ulcers with complications

$7,795
$13,850

44% lower than market

Stomach Disorder without complications

$3,975
$11,331

65% lower than market

INPATIENT NEUROLOGY CHARGES

Description

Our Charge
Market Charge

Variance

Stroke with complications

$3,902
$18,299

79% lower than market

INPATIENT ORTHOPEDICS CHARGES

Description

Our Charge
Market Charge

Variance

Aftercare for muscle and connective tissue injuries with complications

$3,951
$14,101

72% lower than market

Osteomyelitis without complications

$10,013
$10,953

9% lower than market

Pathological fractures & musculoskelet & conn tiss malig without complications

$5,053
$11,639

57% lower than market

Signs & symptoms of musculoskeletal system & connective tissue without major complications

$8,554
$11,417

25% lower than market

Tendonitis, myositis & bursitis without major complications

$14,167
$16,426

14% lower than market

INPATIENT PULMONOLOGY CHARGES

Description

Our Charge
Market Charge

Variance

Chronic Lung Disease with complications

$10,073
$16,410

39% lower than market

Chronic Lung Disease with major complications

$10,619
$14,717

28% lower than market

Other respiratory system diagnoses with major complications

$5,633
$25,174

78% lower than market

Pleural effusion with complications

$4,752
$15,405

69% lower than market

Pneumonia with complications

$8,757
$14,352

39% lower than market

Pneumonia with major complications

$15,559
$17,256

10% lower than market

Pneumonia without complications

$10,618
$10,020

6% higher than market

Pulmonary embolism with major complications

$10,029
$22,126

55% lower than market

Pulmonary embolism without major complications

$6,264
$11,881

47% lower than market

Respiratory Failure

$12,298
$19,120

36% lower than market

Respiratory infections & inflammations with complications

$4,037
$19,507

79% lower than market

Respiratory infections and inflammations with major complications

$6,502
$26,395

75% lower than market

Respiratory signs & symptoms

$7,096
$12,106

41% lower than market

INPATIENT UROLOGY CHARGES

Description

Our Charge
Market Charge

Variance

Kidney & urinary Infection with major complications

$5,579
$12,677

56% lower than market

Kidney & urinary Infection without complications

$7,170
$10,160

29% lower than market

BILLING PROCESS AND INFORMATION

Thank you for choosing Pocahontas Memorial Hospital 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 Pocahontas Memorial Hospital, let us know if your personal information or insurance information has changed since your last visit. Please bring your insurance card to every appointment.

• 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 Pocahontas Memorial Hospital 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 specialists and physicians who read x-rays. 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. Please respond promptly to any requests from your insurance company. If you do not respond, insurance may deny the claim, and you will be responsible for the bill.

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 304-799-1300.

If you need more information about the price of a future service, please contact our Customer Service at 304-799-1300. 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.