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Fiscal Services

Patient Price Information List

In compliance with state law, Alliance Community Hospital is providing this price list containing our charges for room and board, emergency department, operating room, labor and delivery, physical therapy and other procedures.  The hospital's charges are the same for all patients but a patient's responsibility may vary depending on payment plans negotiated with individual health insurers.  Uninsured or underinsured patients should consult with our admitting and/or billing staff to determine whether they qualify for discounts.  These prices are correct as of January 1, 2014.

To view a downloadable patient price list from Alliance Community Hospital, click here.

To view other patient price lists, click on the links below:

Room and Board (Per Day Charges)

INTENSIVE CARE$1117
NURSERY$335
BIRTHING SUITE (LDR)$408
ROUTINE CARE$408
SENIOR CARE

REHAB

$884
$928

Labor and Delivery

The following list does not include charges for anesthesia, drugs, or supplies 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.

NORMAL DELIVERY$1189
FETAL MONITOR NON-STRESS TEST $213 
LABOR ROOM PER HOUR$63 

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.

LEVEL 1$77
LEVEL 2$116
LEVEL 3$191
LEVEL 4$375
LEVEL 5$379
CRITICAL CARE$592

Operating Room Charges

Operating Room charges are based on the complexity level, with Minor being the most basic, for a particular operation.  There is an initial set-up charge as well as an additional charge for each 15 minutes while the operation is being performed.

MINOR-SETUP CHARGE$1059
MINOR-ADDITIONAL 15 MINUTES$207
MAJOR-SETUP CHARGE$1864
MAJOR-ADDITIONAL 15 MINUTES$278

Therapy Services Charges

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

PT THERAPEUTIC EXER, 15 MIN$56
PT GAIT TRAINING, 15 MINUTES$54
PT THERAPEUTIC ACTIVITY,15 MI$64
P.T. EVALUATION$179
PT NEUROMUSCULAR RE-ED  15 MI$56
PT ELECTRIC STIM- ATTENDED$51
OT NEUROMUSCULAR RE-ED 15 MIN$56
OT THERAPEUTIC EXERCISE 15 MI$56
PT HOT OR COLD PACKS$36
SPEECH TREATMENT$173

 
PT ULTRASOUND 15 MIN$51
PT GROUP THERAPEUTIC PROCEDUR$36

 
PT RE-EVALUATION$88
PT MANUAL THERAPY 15 MIN$58
OT WHIRLPOOL$82
PT TRACTION, MECHANICAL$51


OT SENSORY INTEGRETION 15 MIN$60



 




Cardio-Pulmonary Charges

The following charges reflect the most common services offered by our Cardio-Pulmonary department.  Patients may have additional charges depending on the services performed.

CARDIAC REHABPHASE II VISIT EXERCISE PROG$106
CARDIAC REHABPHASE III SELF PAY  /MONTH$71
   
CARDIAC REHABPHASE III  2 DAYS/WK$64
PULMONARY FUNCTIONPFT ARTERIAL PUNCTURE$40
PULMONARY FUNCTIONLUNG VOLUME DETERMINATION$216
PULMONARY FUNCTIONSPIROMETRY, B & A DILATOR$240
PULMONARY FUNCTIONDIFFUSION CAPACITY$176
   
 EKG/EEG $112 
   
RESPIRATORY CAREAERO/MDI TREATMENT, SUBSEQUEN$53
RESPIRATORY CAREPULSE OXIMETRY, SINGLE$59
RESPIRATORY CAREOXYGEN, DAILY CHARGE$83
RESPIRATORY CAREAERO/MDI TREATMENT, INITIAL$69


 
RESPIRATORY CAREBRONCHOPULMONARY HYGIENE, SUB$59
   
RESPIRATORY CAREVENTILATOR DAILY, SUBSEQUENT$341
RESPIRATORY CAREHME/HUMIDIFIER$21
RESPIRATORY CAREBRONCHOPULM. HYGIENE, INITIAL$59


 
RESPIRATORY CAREVENTILATOR CIRCUIT$59
SLEEP LABPOLYSOMNOGRAPHY$2329
SLEEP LABPOLYSOMNOGRAPHY W/CPAP THERAP$2546

Radiological Charges

The following charges reflect the hospital's 30 most common radiological procedures.

CT SCANOPTIRAY 320-125MLS$428
CT SCANCT HEAD W/O CONTRAST$709
CT SCANCT ABD W/O & W/ CONT $1026 
CT SCANCT PELVIS W/O & W/ CONT$1026
CT SCAN  
CT SCANCT CHEST W/ CON$900
CT SCANCT PELVIS W/O CONT$848
CT SCANCT ABD W/O CONT$937
IMAGINGCHEST 2 VIEW FRNTL&LAT$143



IMAGINGCHEST, ONE VIEW PORT$103
   
IMAGINGFOOT CMPL MINI 3 VIEWS$117
IMAGINGHAND MINI 3 VIEWS$121
IMAGINGABD CMP AC ABD 1VIEW CHEST$231
IMAGINGANKLE CMPL MINI 3 VIEWS$109
IMAGINGSPINE LUMBOSA MINIMUM 4 VW$191
IMAGINGABD SINGL AP VIEW$125
IMAGINGHIP UNI CMPL MINI 2 VIEWS$150
IMAGINGOPTIRAY$85
IMAGINGSHLDR CMPL MINIMUM 2 VW$122
MRIOPTIMARK$181
MRIMRI SPINAL LUMB NO CON$1521
NUCLEAR MEDICINETETROFOSMIN TC-99 M  (MYOVIEW$260
NUCLEAR MEDICINEMYOCARD PERF IMAG MX STUDY$927
   
   
ULTRASOUNDDUPLEX CAROTID ART BIL STDY$590
ULTRASOUNDABD MULT ORGAN COMPL$380
WOMENS WELLNESSDIGITAL SCREENING MAMMOGRAM$164

Laboratory Charges

The following charges reflect the hospital's 30 most common laboratory procedures.  All blood draws will automatically include a $16 Venipuncture charge.

BLOOD BANKCROSSMATCH$90
CHEMISTRYBASIC METABOLIC PANEL$66
CHEMISTRYCOMPRE METABOLIC PANEL$91
CHEMISTRYPROTHROMBIN TIME$34
CHEMISTRYCPK$60
CHEMISTRYLIPID PROFILE$72
CHEMISTRYTROPONIN, QUANTITATIVE$35
CHEMISTRYMYOGLOBIN$35
CHEMISTRYCKMB$79
CHEMISTRYTHYROID STIM HORMONE$65
CHEMISTRYHEPATIC FUNCTION PANEL$71
CHEMISTRYAPTT$53
CHEMISTRYGLYCOHEMOGLOBIN (A1C)$56
CHEMISTRYAMYLASE$30
CHEMISTRYLIPASE$29
CHEMISTRYFREE T4$59
CHEMISTRYMAGNESIUM$31



CYTOLOGYTHIN PREP-PAP SMEAR$65
HEMA & URINECBC WITH AUTO DIFF$59
HEMA & URINEURINALYSIS$33
HEMA & URINEURINE MICROSCOPIC$22
HEMA & URINEHEMOGLOBIN$27
HEMA & URINEHEMATOCRIT$27
HEMA & URINESED RATE$30
HISTOLOGYGROSS & MICRO LEVEL 4$87
MICROBIOLOGYDEFINITIVE ORGANISM IDENT$34
MICROBIOLOGYURINE CULTURE$67
MICROBIOLOGYBLOOD CULTURE$90
MICROBIOLOGYMIC SENSITIVITY$65

Free Community Nutrition Seminar for Runners

March 27, 2014

Are you a runner looking to improve your time and race performance? A simple change such as altering what you eat can make a huge difference. Learn more at this FREE Community Nutrition for runners seminar being held THURSDAY, March 27th, at 6:30PM in the Alliance Community Hospital Outpatient Therapy Plaza. Runners of all ages and abilities are welcome.

Demolition of old emergency room to begin in next two days

March 21, 2014

Alliance Community Hospital has announced that demolition of the old emergency room, located on the south side of the old hospital building, on the corner of Rice Street and Arch Avenue, will begin in the next two days. As crews work to raze that portion...

Awareness week shines light on sleep disorders

March 21, 2014

“Sleep well, feel good, do better” was the theme of this year’s National Sleep Awareness Week™ which took place March 2nd-9th. March is known as sleep awareness month due to the time change and people losing an hour of sleep.  According...

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Alliance Community Hospital   |   200 East State Street   |   Alliance, Ohio 44601   |   (330) 596-6000   |   info@achosp.org
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