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Patient Price Information

In compliance with state law, Ohio Valley Surgical Hospital is providing this price list for charges related to room and board, operating and procedure rooms, imaging, physical therapy, and occupational therapy. The costs are the same for all patients, but a patient’s responsibility may vary, depending upon payment plans negotiated with individual health insurers. These prices are correct as of January 1, 2021.

Good Faith Estimate

You have the right to receive a “Good Faith Estimate” explaining how much your medical care will cost. Under the law, health care providers need to give patients who don’t have insurance or who are not using insurance an estimate of the bill for medical items and services.

  • You have the right to receive a Good Faith Estimate for the total expected cost of any non-emergency items or services. This includes related costs like medical tests, prescription drugs, equipment and hospital fees.
  • Make sure your health care provider gives you a Good Faith Estimate in writing at least one business day before your medical service or item. You can also ask your health care provider, and any other provider you choose, for a Good Faith Estimate before you schedule an item or service.
  • If you receive a bill that is at least $400 more than your Good Faith Estimate, you can dispute the bill.
  • Make sure to save a copy or picture of your Good Faith Estimate.

For questions or more information about your right to a Good Faith Estimate, visit www.cms.gov/nosurprises or contact 937.521.3943.

How much will my surgery, procedure, or service cost?

Click here for the Online Cost Estimator, or see the pricing list below:

Room and Board – Per Day Charges

  • Routine Care: $1,096
  • Telemetry Care: $1,313

Operating Room Charges*

  • OR Procedure Level 1 Includes Initial 30 Minutes: $3,272
  • OR Procedure Level 2 Includes Initial 30 Minutes: $3,718
  • OR Procedure Level 3 Includes Initial 30 Minutes : $4,807
  • OR Procedure Level 4 Includes Initial 30 Minutes : $5,835
  • OR Procedure Level 5 Includes Initial 30 Minutes : $6,521
  • OR Level 1 - Per Additional 15 Minutes: $1,190
  • OR Level 2 - Per Additional 15 Minutes: $1,488
  • OR Level 3 - Per Additional 15 Minutes: $1,785
  • OR Level 4 - Per Additional 15 Minutes: $2,403
  • OR Level 5 - Per Additional 15 Minutes: $2,746

Recovery Room

  • 1 each 15 min: $294
  • Room Level 2 ea. 15 min: $201

Anesthesia Time

  • 1st 30 min: $563
  • Each additional 15 min: $226

Imaging

Most common Imaging Procedures:

  • CT Abdomen, no contrast: $1,054
  • CT Abdomen, with contrast: $1,652
  • CT Abdomen/Pelvis, no contrast: $2,221
  • CT Abdomen/Pelvis, with contrast: $3,181
  • CT Chest, no contrast: $1,054
  • CT Chest, with Contrast: $1,652
  • CT Head/Brain, no contrast: $1,054
  • CT Head/Brain, with contrast: $1,652
  • CT Pelvis, with contrast: $1,652
  • Dexa Axial Scan: $431
  • Mammogram, screening: $335
  • Mammogram, diagnostic: $497
  • MRI Brain, no contrast followed by w/contrast: $2,931
  • MRI Cervical, no contrast: $1,860
  • MRI Cervical, no contrast followed by w contrast: $2,931
  • MRI Lumbar Spine, no contrast: $1,860
  • MRI Shoulder, no contrast: $2,178
  • MRI Lower Extremity Joint, no contrast: $2,178
  • Ultrasound, Abdomen, Limited: $532
  • Ultrasound, Breast: $709
  • Ultrasound, Breast 3D Whole: $854
  • Ultrasound, Carotid: $835
  • Ultrasound, Venous, Lower Extremity: $532
  • X-ray, Abdomen, 1View $250
  • X-ray, Ankle, Complete, 3V, One side: $324
  • X-ray, Cervical Spine 4v: $418
  • X-ray, Chest, Single View: $250
  • X-ray, Chest, 2 views: $276
  • X-ray, Foot, Complete 3V, One Side: $324
  • X-ray, Hand, 3V, One Side: $293
  • X-ray, Hip, 2V, One Side: $293
  • X-ray, Knee, 1V or 2V, One Side: $293
  • X-ray, Lumbosacral Spine, 2V or 3V: $250
  • X-ray, Pelvis, 1V or 2V: $250
  • X-ray, Shoulder, Complete 2V, One Side: $324

Occupational Therapy

  • Evaluation: $381
  • Therapeutic Exercise, 15 min.: $117
  • Therapeutic Activity, 15 min.: $117
  • Orthotic Management & Training, 15 min.: $146
  • Each additional 15 min: $117
  • Fluidotherapy, 15 min.: $47
  • Ultrasound, 15 min.: $88

Physical Therapy

  • Evaluation: $381
  • Gait Training, 15 min.: $117
  • Therapeutic Exercise, 15 min.: $117
  • Therapeutic Activity, 15 min.: $117
  • Manual Therapy, 15 min.: $88
  • Massage, 15 min.: $88

Physician Fees

Hospital charges do not include physician fees from your surgeon, anesthesiologist, pathologist, radiologist, or other physicians who may provide your care. You will be billed separately for their services. Please contact the physician billing offices for their charge information:

  • Mercy Anesthesiologists, Inc.: 800.394.4445
  • Trillium Pathology: 866.875.2536
  • Radiology, Inc.: 866.287.0568