Girard Medical Center

In order to provide our patients with information that will help them understand their hospital charges, Girard Medical Center is providing our charges for room and board, emergency department, operating room, physical therapy and certain other procedures. The price list does not contain the pricing for any professional physician charge. The hospital's charges are the same for all patients, but a patient's responsibility may vary, depending on health insurance coverage, eligibility for state or federal programs and each individual's own personal situation. Uninsured or underinsured patients should consult with our Patient Accounts Representative at 620-724-8291, ext 218, to determine whether they qualify for a discount. These prices are correct as of January 2008 but are subject to change.

Description of Services
ROOM AND BOARD PER DAY
Medical/Surgical		828
Pediatric Unit		916
Swingbed		442
Intensive Care Unit		1765

OPERATING ROOM
Operating Room charges are based on whether the case is laparoscopic. Operating Room charges do not include fees for anesthesia, drugs, supplies or additional ancillary procedures that may be required for a particular treatment. Surgeon, pathologist, radiologist, and other physician fees as applicable are not included in these charges and will be billed separately by those providers.
OR Time Charge (Not Laparoscopic) - First 30 minutes		1828
OR Time Charge (Not Laparoscopic) - Next 15 minutes		872
OR Time Charge (Not Laparoscopic) - Each addtl 15 minutes		698
OR Time Charge (Laparoscopic) - First 30 minutes		2613
OR Time Charge (Laparoscopic) - Next 15 minutes		1220
OR Time Charge (Laparoscopic) - Each addtl 15 minutes		1046

RECOVERY ROOM
Recovery Room - First 60 minutes		609
Recovery Room - Each addtl 30 minutes		175
Extended Recovery - per hour, up to 6 hours		105
Extended Recovery - per hour, over 6 hours		51

EMERGENCY ROOM
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. Emergency Room physician fees as applicable are not included in these charges.
Emergency Room Level I		215
Emergency Room Level II		270
Emergency Room Level III		326
Emergency Room Level IV		444
Emergency Room Level V		561
Critical Care		816

LABORATORY
The following charges reflect the hospital's most common laboratory procedures. Physician and/or Pathologist fees, as applicable, are not included in these charges. Please note the blood drawing charge.
Alt Transaminase (SGPT)		59
Amylase, Blood		71
Arterial Blood Gases		201
AST SGOT		59
Basic Metabolic		108
Blood Drawing Charge		13
BNP		291
BUN		48
Cardiac Panel		426
CBC		69
CKMB Quantative		159
Comp Metabolic		115
CPK Total		63
Creatinine Blood		52
Digoxin		159
Dilantin		159
Electrolytes		82
Glucose Fasting		40
Hematocrit		27
Hemoglobin		28
Hemoglobin A1C		107
Hepatic Function Panel		113
Lipase		82
Lipid		124
Magnesium		33
Mycoplasma		85
Occult Blood		36
Pregnancy Test		102
PSA		124
PT (Prothrombin Time)		49
PTT/APTT		67
Quick Strep		95
Sedimentation Rate		42
Sensitivity, MIC		94
T-3 Uptake		54
T4, Thyroxine		62
Troponin I		204
TSH - Thyroid Stimulating Hormone		164
Urinalysis Rout (No Micro)		46
Urine Culture		86

RADIOLOGY
The following charges reflect the hospital's most common x-ray and radiological procedures. Physician fees for the Radiologist, as applicable, are not included in these charges and will be billed separately by the Radiologist.
Abdomen, 1 view		175
Abdomen, 2 views		248
Ankle, 3-5 views		211
Bone Density		357
Cervical Spine, 5 views		424
Chest Xray, 1 view		148
Chest Xray, 2 views		195
CT Scan, Abdomen, with contrast		1,667
CT Scan, Abdomen, without contrast		1,645
CT Scan, Cervical Spine, without contrast		1,554
CT Scan, Chest, with contrast		1,828
CT Scan, Head/Brain, without contrast		1,645
CT Scan, Pelvis, with contrast		1,756
CT Scan, Pelvis, without contrast		1,736
Finger, 2-3 views		149
Foot, 3 views		211
Hand, 3 views		191
Hip, 2 views		181
Knee, 3 views		251
Lumbar Spine, 4 views		410
Mammogram, Diagnostic		100
Mammogram, Screening		100
Mammogram, Unilateral		66
MRI, Brain, with and without contrast		2,469
Pelvis, 1 view		191
Shoulder, 2-3 views		225
Sonogram of Gall Bladder		469
Sonogram of Breast		352
Sonogram of Pelvis		587
Wrist, 3 views		201

RESPIRATORY CARE
Physician fees, as applicable, are not included in these charges and will be billed separately by the physician.
Aerosol Treatment Initial		38
IPPB Initial		38

PHYSICAL THERAPY
The following charges reflect the most common services offered by our Physical Therapy department. Patients may have additional charges, depending on the services performed.
ES unattended		43
Gait Training per 15 min		79
Manual therapy ea 15 min		89
Neuromuscular re-education ea 15 min		89
Therapeutic Exercise ea 15 min		69
Ultrasound ea 15 min		105
Whirlpool		184

OCCUPATIONAL THERAPY The following charges reflect the most common services offered by our Occupational Therapy department. Patients may have additional charges, depending on the services performed.

Neuromuscular Re-education ea 15 min		89
Therapeutic Activities ea 15 min		69
GIRARD MEDICAL CENTER CLINIC PRICES (Cherokee and Frontenac)
Office Visit, New Patient, Level 1 70
Office Visit, New Patient Level 2 85
Office Visit, New Patient, Level 3 115
Office Visit, New Patient, Level 4 131
Office Visit, Established Patient, Level 1 36
Office Visit, Established Patient, Level 2 53
Office Visit, Established Patient, Level 3 68
Office Visit, Established Patient, Level 4 98
Office Visit, Established Patient, Level 5 134

GIRARD MEDICAL CENTER CLINIC PRICES (Cherokee and Frontenac)