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		788
Pediatric Unit		872
Swingbed		420
Intensive Care Unit		1680

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		1792
OR Time Charge (Not Laparoscopic) - Next 15 minutes		855
OR Time Charge (Not Laparoscopic) - Each addtl 15 minutes		684
OR Time Charge (Laparoscopic) - First 30 minutes		2562
OR Time Charge (Laparoscopic) - Next 15 minutes		1196
OR Time Charge (Laparoscopic) - Each addtl 15 minutes		1025

RECOVERY ROOM
Recovery Room - First 60 minutes		597
Recovery Room - Each addtl 30 minutes		172
Extended Recovery - per hour, up to 6 hours		103
Extended Recovery - per hour, over 6 hours		50

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		211
Emergency Room Level II		226
Emergency Room Level III		240
Emergency Room Level IV		255
Emergency Room Level V		268
Critical Care		593

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)		58
Amylase, Blood		70
Arterial Blood Gases		197
AST SGOT		58
Basic Metabolic		106
Blood Drawing Charge		13
BNP		285
BUN		47
Cardiac Panel		418
CBC		68
CKMB Quantative		156
Comp Metabolic		113
CPK Total		62
Creatinine Blood		51
Digoxin		156
Dilantin		156
Electrolytes		80
Glucose Fasting		39
Hematocrit		26
Hemoglobin		27
Hemoglobin A1C		105
Hepatic Function Panel		111
Lipase		80
Lipid		122
Magnesium		32
Mycoplasma		83
Occult Blood		35
Pregnancy Test		100
PSA		122
PT (Prothrombin Time)		48
PTT/APTT		66
Quick Strep		93
Sedimentation Rate		41
Sensitivity, MIC		92
T-3 Uptake		53
T4, Thyroxine		61
Troponin I		200
TSH - Thyroid Stimulating Hormone		161
Urinalysis Rout (No Micro)		45
Urine Culture		84

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		172
Abdomen, 2 views		243
Ankle, 3-5 views		180
Bone Density		350
Cervical Spine, 5 views		437
Chest Xray, 1 view		145
Chest Xray, 2 views		191
CT Scan, Abdomen, with contrast		1,557
CT Scan, Abdomen, without contrast		1,537
CT Scan, Cervical Spine, without contrast		1,452
CT Scan, Chest, with contrast		1,640
CT Scan, Head/Brain, without contrast		1,537
CT Scan, Pelvis, with contrast		1,640
CT Scan, Pelvis, without contrast		1,621
Finger, 2-3 views		127
Foot, 3 views		180
Hand, 3 views		163
Hip, 2 views		177
Knee, 3 views		156
Lumbar Spine, 4 views		402
Mammogram, Diagnostic		100
Mammogram, Screening		100
Mammogram, Unilateral		66
MRI, Brain, with and without contrast		2,306
Pelvis, 1 view		163
Shoulder, 2-3 views		211
Sonogram of Gall Bladder		400
Sonogram of Breast		300
Sonogram of Pelvis		500
Wrist, 3 views		172

RESPIRATORY CARE
Physician fees, as applicable, are not included in these charges and will be billed separately by the physician.
Aerosol Treatment Initial		37
IPPB Initial		37

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		42
Gait Training per 15 min		77
Manual therapy ea 15 min		87
Neuromuscular re-education ea 15 min		87
Therapeutic Exercise ea 15 min		68
Ultrasound ea 15 min		103
Whirlpool		180

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		87
Therapeutic Activities ea 15 min		68
GIRARD MEDICAL CENTER CLINIC PRICES (Cherokee and Frontenac)
Office Visit, New Patient, Level 1 59
Office Visit, New Patient Level 2 80
Office Visit, New Patient, Level 3 110
Office Visit, New Patient, Level 4 131
Office Visit, Established Patient, Level 1 32
Office Visit, Established Patient, Level 2 49
Office Visit, Established Patient, Level 3 66
Office Visit, Established Patient, Level 4 98
Office Visit, Established Patient, Level 5 134

GIRARD MEDICAL CENTER CLINIC PRICES (Cherokee and Frontenac)