Patient Price Information List

Disclaimer: Pullman 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, Pullman Regional Hospital has partnered with Hospital Pricing Specialists LLC to analyze current charges, based off CMS adjudicated claims through 9/30/2019. Pullman Regional Hospital's charges are displayed and compared with the local market charge, consisting of the following hospitals:

Hospital Name
Location

Cascade Valley Hospital

Arlington

WA

Grays Harbor Community Hospital

Aberdeen

WA

Gritman Medical Center

Moscow

ID

Island Hospital

Anacortes

WA

Jefferson Healthcare

Port Townsend

WA

Lourdes Medical Center

Pasco

WA

PMH Medical Center

Prosser

WA

Providence Holy Family Hospital

Spokane

WA

Providence Sacred Heart Med Ctr

Spokane

WA

Saint Joseph Regional Med Ctr

Lewiston

ID

Sunnyside Community Hospital

Sunnyside

WA

Tri-State Memorial Hospital

Clarkston

WA

Valley Hospital

Spokane Valley

WA

Whitman Hospital Medical Center

Colfax

WA

INPATIENT ROOM AND BOARD DAILY CHARGES

Description

Our Charge
Market Charge

Variance

Private Room

$1,275
$1,831

30% lower than market

Semi-Private Room

$1,275
$1,882

32% lower than market

Intensive Care Unit

$2,074
$3,760

45% lower than market

INPATIENT LABOR AND DELIVERY CHARGES

The following list does not include charges for anesthesia, drugs, or supplies or charges outside the delivery room (i.e., room & board) required for a particular delivery room procedure. Fees for physician services or anesthesia administration are also not reflected, and will be billed separately by your physician.

Description

Our Charge
Market Charge

Variance

Normal vaginal delivery without complications

$8,516
$10,466

19% 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

$143
$258

44% lower than market

Emergency Department Visit - Level 2

$267
$431

38% lower than market

Emergency Department Visit - Level 3

$580
$685

15% lower than market

Emergency Department Visit - Level 4

$497
$1,054

53% lower than market

Emergency Department Visit - Level 5

$720
$1,894

62% lower than market

Emergency Critical Care, First 30 Minutes

$1,049
$3,290

68% 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

Electric Stimulation for Therapy

$67
$66

2% higher than market

Gait Training - 15 Minutes

$100
$113

12% lower than market

PT Evaluation - Moderate Complexity

$150
$315

52% lower than market

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

$88
$126

30% lower than market

Physical Therapy 1 or More Regions (15 min)

$94
$119

21% lower than market

Physical Therapy Exercise, 15 Minutes

$74
$124

40% lower than market

Physical Therapy, complex evaluation

$150
$335

55% lower than market

Physical Therapy, re-evaluation

$91
$180

49% lower than market

Physical Therapy, standard evaluation - 20 minutes

$150
$293

49% lower than market

OUTPATIENT CLINIC CHARGES

Description

Our Charge
Market Charge

Variance

New patient office or other outpatient visit, typically 45 min

$299
$291

3% higher 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 - 30 minutes

$150
$294

49% lower than market

Paraffin Wax Bath

$59
$64

8% lower than market

Self Care - Home Management Training - 15 Minutes

$99
$116

15% lower than market

Therapeutic Activities Involving Functional Activities (15 min)

$86
$132

35% 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

$125
$229

45% lower than market

Holter Testing - 48-Hour EKG

$213
$559

62% lower than market

Routine EKG - Minimum 12 Leads

$143
$203

30% lower than market

Spirometry - medicated breathing procedure

$419
$547

23% lower than market

OUTPATIENT SPEECH THERAPY CHARGES

Description

Our Charge
Market Charge

Variance

Speech Therapy

$212
$261

19% lower than market

Swallow Evaluation

$305
$375

19% 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

Alpha-Fetoprotein (AFP) Level, Serum

$76
$121

37% lower than market

Ammonia level

$111
$143

22% lower than market

Amylase (enzyme) level

$78
$79

2% lower than market

Analysis of Substance Using Immunoassay Technique

$63
$182

65% lower than market

Antihuman globulin test (Coombs test); indirect, qualitative, each reagent red cell

$66
$95

31% lower than market

Arterial Blood Gases Measurement

$177
$221

20% lower than market

Bacterial Blood Culture

$159
$164

3% lower than market

Bacterial Culture for Aerobic Isolates

$48
$85

43% lower than market

Bacterial Culture, Any Source Blood

$127
$130

2% lower than market

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

$79
$115

31% lower than market

Bacterial urine culture; quantitative colony count

$79
$81

3% lower than market

Blood Glucose Scan

$23
$25

6% lower than market

Blood Typing, ABO

$47
$91

48% lower than market

Blood Typing, Rh (D)

$29
$60

52% lower than market

Blood Unit Compatibility Test; Antiglobulin Technique

$82
$215

62% lower than market

Blood Unit Compatibility Test; Immediate Spin Technique

$83
$181

54% lower than market

Blood Unit Compatibility Test; Incubation Technique

$75
$94

20% lower than market

Blood potassium level

$50
$53

6% lower than market

Blood test, basic group of blood chemicals

$132
$105

26% higher than market

Blood test, clotting time

$36
$48

25% lower than market

Blood test, comprehensive group of blood chemicals

$139
$128

9% higher than market

Blood test, lipids (cholesterol and triglycerides)

$130
$113

15% higher than market

Blood test, thyroid stimulating hormone (TSH)

$112
$120

7% lower than market

Calcium level

$47
$53

11% lower than market

Carboxyhemoglobin

$45
$116

61% lower than market

Carcinoembryonic antigen (CEA) protein level

$106
$133

20% lower than market

Cell examination of specimen

$97
$216

55% lower than market

Coagulation Function Measurement; D-dimer; quantitative

$116
$148

22% lower than market

Complete blood cell count - automated differential WBC count

$43
$90

52% lower than market

Complete blood cell count - automated test with out Differential

$36
$64

44% lower than market

Cortisol Measurement

$92
$147

37% lower than market

Creatine kinase Level (cardiac enzyme) - Total

$76
$79

4% lower than market

Creatine kinase level (cardiac enzyme) - Muscle/Brain

$129
$168

23% lower than market

Creatinine level to test for kidney function or muscle injury

$35
$60

41% lower than market

Cyanocobalamin (vitamin B-12) level

$90
$113

20% lower than market

Detection Test for Hepatitis B

$83
$88

5% lower than market

Detection test for Influenza virus, A or B

$97
$90

8% higher than market

Detection test for Staphylococcus aureus, methicillin resistant (MRSA bacteria)

$132
$257

49% lower than market

Detection test for clostridium difficile

$120
$194

38% lower than market

Digoxin level

$79
$126

37% lower than market

Drug Test(s) by Chemistry Analyzer

$203
$238

15% lower than market

Drug test(s); includes specimen validity testing, per day; 8-14 drug class(es)

$181
$163

11% higher than market

Ferritin (blood protein) level

$104
$116

11% lower than market

Flow cytometry, cell surface, cytoplasmic, or nuclear marker, technical component only; each additional marker

$67
$179

62% lower than market

Folic acid; serum

$87
$105

17% lower than market

Gammaglobulin Measurement

$72
$89

19% lower than market

Glutamyltransferase (liver enzyme) level

$67
$66

1% higher than market

Gonadotropin (reproductive hormone) analysis

$73
$102

28% lower than market

Hemoglobin A1C level

$76
$89

15% lower than market

Hemoglobin Measurement

$22
$35

38% lower than market

Hepatitis B Antibody Measurement

$67
$82

18% lower than market

Homocysteine (amino acid) level

$81
$132

39% lower than market

Immunoassay for infectious agent antibody, quantitative, not otherwise specified

$41
$161

75% lower than market

Immunofixation electrophoresis; serum

$162
$152

6% higher than market

Iron Binding Capacity

$28
$74

62% lower than market

Iron level

$72
$65

10% higher than market

Kidney Function Blood Test Panel

$136
$110

23% higher than market

Lactic acid level

$109
$125

13% lower than market

Lipase (fat enzyme) level

$65
$94

31% lower than market

Lithium Level

$66
$73

9% lower than market

Liver enzyme (SGOT), level

$57
$61

6% lower than market

Liver function blood test panel

$131
$102

28% higher than market

Magnesium Level

$60
$64

6% lower than market

Measurement of Antibody for Assessment of Autoimmune Disorder

$98
$112

13% lower than market

Measurement of antibody (IgE) to allergic substance

$30
$42

29% lower than market

Methemoglobin (hemoglobin) analysis

$60
$79

24% lower than market

Microscopic Examination of White Blood Cells with Manual Count

$17
$46

63% lower than market

Natriuretic peptide (heart and blood vessel protein) level

$289
$266

9% higher than market

Nephelometry, test method using light

$48
$242

80% lower than market

Organic acid level

$88
$142

38% lower than market

PSA (prostate specific antigen) measurement

$96
$123

22% lower than market

PSA Measurement; Free

$89
$124

28% lower than market

Parathormone

$109
$247

56% lower than market

Coagulation assessment blood test

$54
$93

42% lower than market

Pathology examination of tissue using a microscope, intermediate complexity

$146
$216

32% lower than market

Pathology examination of tissue using a microscope, limited examination

$48
$91

47% lower than market

Pathology examination of tissue using a microscope, moderately high complexity

$325
$464

30% lower than market

Pathology examination of tissue using a microscope, moderately low complexity

$106
$208

49% lower than market

Prealbumin (protein) level

$120
$112

7% higher than market

Preparation of tissue for examination by removing any calcium present

$14
$62

77% lower than market

Prolactin (milk producing hormone) level

$85
$152

44% lower than market

Protein Measurement, Serum

$111
$105

6% higher than market

Protein measurement, body fluid

$101
$126

20% lower than market

Red Blood Cell Concentration Measurement

$22
$37

40% lower than market

Red blood cell sedimentation rate, to detect inflammation; non-automated

$45
$46

1% lower than market

Red blood cells, leukocytes reduced, irradiated, each unit

$354
$685

48% lower than market

Red blood count, automated test

$32
$59

45% lower than market

Screening Test for Autoimmune Disorder

$91
$94

3% lower than market

Smear for Parasites

$60
$85

29% lower than market

Special stain for parasites

$60
$103

42% lower than market

Special stained specimen slides to examine tissue

$88
$165

47% lower than market

Stool analysis for blood to screen for colon tumors

$28
$44

36% lower than market

Stool calprotectin (protein) level

$76
$397

81% lower than market

Tacrolimus Level

$97
$159

39% lower than market

Testosterone (hormone) level

$59
$151

61% lower than market

Testosterone Level; Free

$134
$133

1% higher than market

Thyroid Hormone, T3 Measurement, Free

$103
$125

18% lower than market

Thyroxine (thyroid chemical) measurement - Free Thyroxine

$70
$94

25% lower than market

Tissue or Cell Analysis by Immunologic Technique

$136
$290

53% lower than market

Troponin (protein) analysis

$146
$160

9% lower than market

Tuberculosis Test

$243
$248

2% lower than market

Urea nitrogen level to assess kidney function

$48
$44

9% higher than market

Urinalysis with Examination, using Microscope

$64
$55

17% higher than market

Urinalysis, Automated Test

$39
$47

18% lower than market

Urine microalbumin (protein) level

$42
$73

43% lower than market

Valproic acid level

$98
$123

20% lower than market

Vitamin D-3 Level

$129
$156

17% lower than market

OUTPATIENT MEDICINE CHARGES

Description

Our Charge
Market Charge

Variance

Application of mechanical traction to 1 or more areas

$75
$93

19% lower than market

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

$205
$217

6% lower than market

External shock to heart to regulate heart beat

$1,436
$1,631

12% lower than market

Fluoroscopic and video recorded motion evaluation of swallowing function

$362
$451

20% lower than market

Heart rhythm analysis, interpretation and report of 48-hour EKG

$486
$617

21% lower than market

Infusion of Drug or Substance into Vein for Therapy or Diagnosis

$459
$491

7% lower than market

Injection Beneath the Skin for Therapy, Diagnosis, or Prevention

$68
$150

55% lower than market

Injection of Same Drug into Vein for Therapy or Diagnosis

$68
$129

47% lower than market

Irrigation of implanted venous access drug delivery device

$182
$169

8% higher than market

Manual maneuvers to chest wall to assist movement of lung secretions

$84
$108

22% lower than market

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

$56
$63

12% lower than market

Medical nutrition therapy, assessment and intervention, each 15 minutes

$56
$70

20% lower than market

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

$230
$384

40% lower than market

Psychotherapy, 30 minutes with patient

$83
$95

13% lower than market

Psychotherapy, 45 minutes with patient

$111
$154

28% lower than market

Psychotherapy, 60 minutes with patient

$150
$169

11% lower than market

Routine electrocardiogram (EKG) using at least 12 leads with interpretation and report

$32
$58

44% lower than market

Sleep Monitoring with CPAP

$3,494
$4,447

21% lower than market

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

$4,162
$3,726

12% higher than market

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

$83
$116

29% lower than market

Wheelchair management, each 15 minutes

$72
$131

45% lower than market

OUTPATIENT OBSERVATION CHARGES

Description

Our Charge
Market Charge

Variance

Hospital Observation per Hour

$92
$259

64% lower than market

Hospital observation care discharge

$171
$197

13% lower than market

Hospital observation care typically 30 minutes

$171
$199

14% lower than market

Hospital observation care typically 50 minutes

$238
$333

28% lower than market

Hospital observation care typically 70 minutes per day

$313
$477

34% lower than market

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

$449
$629

29% lower than market

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

$371
$471

21% lower than market

OUTPATIENT OTHER CHARGES

Description

Our Charge
Market Charge

Variance

Surgical pathology, gross and microscopic examinations, for prostate needle biopsy, any method

$889
$829

7% higher than market

Technetium tc-99m mebrofenin, diagnostic, per study dose, up to 15 millicuries

$93
$308

70% lower than market

Technetium tc-99m medronate, diagnostic, per study dose, up to 30 millicuries

$100
$268

63% lower than market

Technetium tc-99m sulfur colloid, diagnostic, per study dose, up to 20 millicuries

$208
$540

61% lower than market

OUTPATIENT PHARMACY AND DRUG ADMINISTRATION CHARGES

Description

Our Charge
Market Charge

Variance

Administration of 1 Vaccine

$72
$99

27% lower than market

Injection of Drug or Substance into Vein for Therapy or Diagnosis

$68
$318

79% lower than market

Injection of New Drug into Vein for Therapy or Diagnosis

$68
$132

48% lower than market

Injection, Adrenalin, Epinephrine, 0.1 mg

$10
$15

35% lower than market

Injection, Cefazolin Sodium, 500 mg

$28
$25

10% higher than market

Injection, Diphenhydramine HCL, up to 50 mg

$50
$46

9% higher than market

Injection, Enoxaparin Sodium, 10 mg

$15
$20

22% lower than market

Injection, Fentanyl Citrate, 0.1 mg

$50
$55

9% lower than market

Injection, Hydralazine hcl, Up to 20 mg

$50
$54

7% lower than market

Injection, Hydromorphone, Up to 4 mg

$50
$61

19% lower than market

Injection, Ketorolac Tromethamine, per 15 mg

$25
$29

15% lower than market

Injection, Lorazepam, 2 mg

$50
$56

11% lower than market

Injection, Magnesium Sulfate, per 500 mg

$8
$23

64% lower than market

Injection, Methylprednisolone Sodium Succinate, up to 125 mg

$52
$65

20% lower than market

Injection, Midazolam Hydrochloride, per 1 mg

$25
$37

32% lower than market

Injection, Vancomycin HCL, 500 mg

$38
$53

29% lower than market

Injection, alteplase recombinant, 1 mg

$208
$391

47% lower than market

Injection, ceftazidime, per 500 mg

$38
$48

21% lower than market

Injection, haloperidol, up to 5 mg

$50
$54

8% lower than market

Injection, infliximab, excludes biosimilar, 10 mg

$301
$1,393

78% lower than market

Injection, meperidine hydrochloride, per 100 mg

$25
$67

63% lower than market

Injection, naloxone hydrochloride, per 1 mg

$33
$117

72% lower than market

Injection, neostigmine methylsulfate, up to 0.5 mg

$24
$68

65% lower than market

Injection, perflutren lipid microspheres, per ml

$198
$304

35% lower than market

Injection, phytonadione (vitamin k), per 1 mg

$23
$35

35% lower than market

Injection, succinylcholine chloride, up to 20 mg

$15
$25

41% lower than market

Injection, vedolizumab, 1 mg

$50
$49

2% higher than market

Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg

$50
$50

1% higher than market

Tetanus Vaccine

$55
$114

52% lower 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

CO Diffusion Capacity

$263
$352

25% lower than market

Nebulizer Treatment

$151
$251

40% lower than market

Thoracic Gas Volume

$296
$412

28% lower than market

OUTPATIENT SUPPLIES CHARGES

Description

Our Charge
Market Charge

Variance

Fluorodeoxyglucose f-18 fdg, diagnostic, per study dose, up to 45 millicuries

$662
$1,013

35% lower than market

Technetium tc-99m sestamibi, diagnostic, per study dose

$116
$435

73% lower than market

OUTPATIENT SURGICAL SERVICES CHARGES

Description

Our Charge
Market Charge

Variance

Biopsy of Large Bowel, Using an Endoscope

$1,949
$3,079

37% lower than market

Biopsy of prostate gland

$1,998
$2,666

25% lower than market

Biopsy of the Esophagus, Stomach, Using an Endoscope

$2,425
$2,905

17% lower than market

Collection of blood specimen from central or peripheral venous catheter

$84
$219

62% lower than market

Colonscopy

$1,805
$3,493

48% lower than market

Colorectal Cancer Screening; Colonoscopy on Non-High Risk Patient

$1,805
$3,272

45% lower than market

Crushing of stone in urinary duct (ureter) with stent using an endoscope

$7,700
$12,074

36% lower than market

Diagnostic Examination of Esophagus, Stomach, and/or Upper Small Bowel with Endoscope

$1,618
$3,546

54% lower than market

Epidural Injection Thoracic

$1,117
$1,315

15% lower than market

Removal of cataract with insertion of lens

$1,652
$3,807

57% lower than market

Injection of dye for X-ray imaging of shoulder joint

$338
$540

37% lower than market

Injection of substance into spinal canal or lower back using imaging

$1,117
$999

12% higher than market

Insertion of Indwelling Bladder Catheter

$197
$357

45% lower than market

Insertion of Needle into Vein to Collect Blood

$22
$29

25% lower than market

Insertion of temporary bladder catheter

$197
$263

25% lower than market

Removal of 1 or more breast growth, open procedure

$4,983
$8,734

43% lower than market

Removal of Polyps in Large Bowel, Using an Endoscope

$1,949
$3,302

41% lower than market

Removal of fluid from chest cavity with insertion of indwelling catheter and imaging guidance, acces

$776
$1,414

45% lower than market

Repair of Wound (2.6 to 7.5 centimeters)

$404
$401

1% higher than market

Repair of groin hernia patient age 5 years or older

$8,298
$10,937

24% lower than market

Simple wound repair of scalp, neck, external genitalia; 2.5 cm or less

$342
$375

9% 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

3D radiographic procedure

$834
$897

7% lower than market

3D radiographic procedure with computerized image postprocessing

$834
$1,223

32% lower than market

CT Abdomen & Pelvis with Contrast

$2,021
$3,213

37% lower than market

CT Abdomen & Pelvis with and without Contrast

$2,465
$3,771

35% lower than market

CT Abdomen & Pelvis without Contrast

$1,847
$2,639

30% lower than market

CT Abdomen with Contrast

$1,383
$2,415

43% lower than market

CT Angiogram Abdomen & Pelvis with and without Contrast

$2,196
$3,306

34% lower than market

CT Angiogram Chest with and without Contrast

$2,110
$2,769

24% lower than market

CT Angiogram Head with and without Contrast

$2,043
$2,542

20% lower than market

CT Angiogram Neck with and without Contrast

$2,043
$2,518

19% lower than market

CT Arm without Contrast

$1,480
$1,688

12% lower than market

CT Chest with Contrast

$2,126
$2,242

5% lower than market

CT Chest without Contrast

$1,737
$1,588

9% higher than market

CT Face without Contrast

$1,028
$1,444

29% lower than market

CT Head Brain without Contrast

$1,350
$1,469

8% lower than market

CT Leg without Contrast

$1,464
$1,674

13% lower than market

CT Neck with Contrast

$1,523
$2,089

27% lower than market

CT Pelvis with Contrast

$2,029
$2,050

1% lower than market

CT Pelvis without Contrast

$1,741
$1,702

2% higher than market

CT Spine Cervical without Contrast

$1,682
$1,787

6% lower than market

Chest X-Ray; 2 Views

$308
$320

4% lower than market

Chest X-Ray; Single View

$223
$280

20% lower than market

Diagnostic mammography, bilateral

$325
$554

41% lower than market

Diagnostic mammography, unilateral

$325
$337

4% lower than market

Fluoroscopic guidance for insertion of needle

$392
$628

38% lower than market

Imaging for Evaluation of Swalling Function

$561
$619

9% lower than market

Imaging guidance for procedure, more than 1 hour

$583
$928

37% lower than market

Imaging guidance for procedure, up to 1 hour

$392
$627

37% lower than market

Imaging of Abdomen; 2 Views

$374
$401

7% lower than market

Imaging of Liver and Bile Duct System with Use of Drugs

$1,615
$2,270

29% lower than market

Limited bilateral noninvasive physiologic studies of upper or lower extremity arteries

$327
$434

25% lower than market

MRA Head without Contrast

$2,132
$2,333

9% lower than market

MRI Abdomen with and without Contrast

$2,949
$3,173

7% lower than market

MRI Arm Joint without Contrast

$1,962
$2,418

19% lower than market

MRI Brain with Contrast

$1,995
$2,740

27% lower than market

MRI Brain with and without Conrast

$2,963
$3,489

15% lower than market

MRI Brain without Contrast

$2,062
$2,414

15% lower than market

MRI Leg Joint without Contrast

$1,962
$2,318

15% lower than market

MRI Pelvis with and without Contrast

$2,825
$3,583

21% lower than market

MRI Spine Cervical with and without Contrast

$2,524
$3,511

28% lower than market

MRI Spine Cervical without Contrast

$1,866
$2,463

24% lower than market

MRI Spine Lumbar with and without Contrast

$2,444
$3,484

30% lower than market

MRI Spine Lumbar without Contrast

$2,101
$2,441

14% lower than market

MRI Spine Thoracic without Contrast

$2,101
$2,506

16% lower than market

Myocardial Perfusion, Tomographic

$3,023
$4,352

31% lower than market

Physical Therapy, ultrasound therapy - 15 minutes

$62
$93

33% lower than market

Radium ra-223 dichloride, therapeutic, per microcurie

$168
$213

21% lower than market

Screening Mammography, Bilateral, with CAD

$345
$445

22% lower than market

Stomach emptying study

$1,615
$1,784

9% lower than market

Ultrasound Abdomen - Complete

$802
$764

5% higher than market

Ultrasound Abdomen - Limited

$730
$672

9% higher than market

Ultrasound Blood Flow Outside the Brain

$1,191
$1,115

7% higher than market

Ultrasound Guidance for Insertion of Needle

$716
$954

25% lower than market

Ultrasound Joint Soft Tissue - Limited

$394
$474

17% lower than market

Ultrasound Pelvis NonOB

$936
$870

8% higher than market

Ultrasound Veins of Both Arms or Legs

$1,111
$1,191

7% lower than market

Ultrasound Veins of One Arm or Leg

$613
$813

25% lower than market

Ultrasound of Arteries of Both Legs

$864
$951

9% lower than market

Whole Body Bone Scan

$1,372
$1,474

7% lower than market

X-Ray Ankle, 3 Views

$323
$386

16% lower than market

X-Ray Both Hips and Pelvis, 2 Views

$109
$473

77% lower than market

X-Ray Collar Bone

$312
$350

11% lower than market

X-Ray Elbow, 3 Views

$338
$379

11% lower than market

X-Ray Esophagus

$743
$718

4% higher than market

X-Ray Femus, 2 Views

$89
$356

75% lower than market

X-Ray Fingers, 2 Views

$238
$261

9% lower than market

X-Ray Foot, 3 Views

$323
$386

16% lower than market

X-Ray Hand, 3 Views

$323
$371

13% lower than market

X-Ray Hip and Pelvis, 2 Views

$82
$354

77% lower than market

X-Ray Knee, 1-2 Views

$301
$285

6% higher than market

X-Ray Knee, 3 Views

$348
$350

Approximately equal to market

X-Ray Knee, 4 or More Views

$389
$454

14% lower than market

X-Ray Lower Leg, 2 Views

$312
$357

13% lower than market

X-Ray Lower Sacral Spine, 2-3 Views

$401
$424

5% lower than market

X-Ray Lower Sacral Spine, 4 or More Views

$382
$559

32% lower than market

X-Ray Middle Spine, 3 Views

$348
$420

17% lower than market

X-Ray Neck Spine, 2-3 Views

$376
$345

9% higher than market

X-Ray Pelvis, 1-2 Views

$283
$328

14% lower than market

X-Ray Sacroiliac Joints, 3 or More Views

$370
$414

11% lower than market

X-Ray Shoulder, 2 Views

$342
$380

10% lower than market

X-Ray Toes, 2 Views

$285
$288

1% lower than market

X-Ray Upper Spine, 4-5 Views

$551
$546

1% higher than market

X-Ray Wrist, 2 Views

$301
$289

4% higher than market

X-Ray Wrist, 3 Views

$324
$369

12% lower than market

INPATIENT CARDIOLOGY CHARGES

Description

Our Charge
Market Charge

Variance

Heart Failure with complications

$16,915
$19,847

15% lower than market

INPATIENT GYNECOLOGY CHARGES

Description

Our Charge
Market Charge

Variance

Uterus or Ovary Surgery Not Related to Cancer without complications

$27,814
$33,174

16% lower than market

INPATIENT ORTHOPEDIC SURGERY CHARGES

Description

Our Charge
Market Charge

Variance

Total Knee or Hip Replacement

$41,883
$66,859

37% lower than market

Total Shoulder Replacement

$50,181
$69,108

27% lower than market

INPATIENT SURGERY FOR MALIGNANCY CHARGES

Description

Our Charge
Market Charge

Variance

Major male pelvic procedures without complications

$45,753
$41,292

11% higher than market

BILLING PROCESS AND INFORMATION

How You Can Help

Thank you for choosing Pullman Regional Hospital 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.

• 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 Pullman Regional Hospital, let us know if your personal information or insurance information has changed since your last visit.

• 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 Pullman Regional 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 for your hospital visit, including your family doctor, specialists, physicians to read x-rays, give anesthesia, or do blood work. 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. If your insurance plan does not pay the bill within 90 days after billing, or your claim is denied, you will receive a statement from Pullman Regional Hospital indicating the bill is now your responsibility. All bills sent to you are due upon receipt.

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 Customer Call Center at 509-332-1163.

If you need more information about the price of a future service, please contact our Price Hotline at 509-332-1163. A CPT code is strongly encouraged when you call. You can obtain the CPT code from the ordering physician.

Financial Assistance

We are pleased to offer financial assistance to patients with limited resources and inadequate medical insurance coverage. Eligibility is determined by total family income/assets. The patient must agree to apply for other assistance available to pay hospital charges (Medicaid, Medicare, private insurance) before being discharged.

Pullman Regional Hospital's Charity Care Policy

Pullman Regional Hospital provides high quality care to everyone, regardless of their ability to pay.

Pullman Regional Hospital's charity care policy includes:

• Substantial charity care guidelines that provide free care for individuals and families who earn less than 200 percent of the federal poverty level.

• Sliding scale fees to provide substantially discounted care for individuals and families who are between 200 and 400 percent of the federal poverty level.

• Hardship policy for those patients who would not otherwise qualify for charity care but have unique circumstances.

In many cases, Pullman Regional Hospital offers interest free loans for up to one year to assist patients.

For more information, please contact our Customer Call Center at 509-332-1163.