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Price List

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   922
Pediatric Unit   1021
Swingbed   492
Intensive Care Unit   1966

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   2036
OR Time Charge (Not Laparoscopic) - Next 15 minutes   971
OR Time Charge (Not Laparoscopic) - Each addtl 15 minutes   778
OR Time Charge (Laparoscopic) - First 30 minutes   2911
OR Time Charge (Laparoscopic) - Next 15 minutes   1359
OR Time Charge (Laparoscopic) - Each additional 15 minutes   1165

RECOVERY ROOM
Recovery Room - First 60 minutes   678
Recovery Room - Each additional 30 minutes   196
Extended Recovery - per hour, up to 6 hours   116
Extended Recovery - per hour, over 6 hours   58

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   240
Emergency Room Level II   302
Emergency Room Level III   363
Emergency Room Level IV   494
Emergency Room Level V   625
Critical Care   909

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)   66
Amylase, Blood   79
Arterial Blood Gases   224
AST SGOT   66
Basic Metabolic   119
Blood Drawing Charge   13
BNP   324
BUN   54
Cardiac Panel   474
CBC   76
CKMB Quantative   177
Comp Metabolic   129
CPK Total   70
Creatinine Blood   59
Digoxin   177
Dilantin   177
Electrolytes   92
Glucose Fasting   44
Hematocrit   30
Hemoglobin   40
Hemoglobin A1C   118
Hepatic Function Panel   127
Lipase   92
Lipid   138
Magnesium   87
Mycoplasma   95
Occult Blood   40
Pregnancy Test   113
PSA   138
PT (Prothrombin Time)   55
PTT/APTT   74
Quick Strep   106
Sedimentation Rate   46
Sensitivity, MIC   105
T-3 Uptake   61
T4, Thyroxine   69
Troponin I   227
TSH - Thyroid Stimulating Hormone   182
Urinalysis Rout (No Micro)   49
Urine Culture   96

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   196
Abdomen, 2 views   276
Ankle, 3-5 views   236
Bone Density   398
Cervical Spine, 5 views   472
Chest Xray, 1 view   165
Chest Xray, 2 views   217
CT Scan, Pelvis/Abdomen, with contrast   3,813
CT Scan, Pelvis/Abdomen, without contrast   3,767
CT Scan, Cervical Spine, without contrast   1,731
CT Scan, Chest, with contrast   1,956
CT Scan, Head/Brain, without contrast   1,832
     
     
Finger, 2-3 views   166
Foot, 3 views   236
Hand, 3 views   213
Hip, 2 views   202
Knee, 3 views   280
Lumbar Spine, 4 views   457
Mammogram, Diagnostic   100
Mammogram, Screening   100
Mammogram, Unilateral   66
MRI, Brain, with and without contrast   2,750
Pelvis, 1 view   213
Shoulder, 2-3 views   250
Sonogram of Gall Bladder   522
Sonogram of Breast   392
Sonogram of Pelvis   653
Wrist, 3 views   224

RESPIRATORY CARE
Physician fees, as applicable, are not included in these charges and will be billed separately by the physician.  
Aerosol Treatment Initial   42
IPPB Initial   42

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   162
Gait Training per 15 min   88
Manual therapy ea 15 min   99
Neuromuscular re-education ea 15 min   99
Therapeutic Exercise ea 15 min   76
Ultrasound ea 15 min   116
Whirlpool   205
 
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   99
Therapeutic Activities ea 15 min   76

GIRARD MEDICAL CENTER CLINIC PRICES (Arma, Cherokee, Girard and Frontenac)

Office Visit, New Patient, Level 1                              70
Office Visit, New Patient Level 2                                95
Office Visit, New Patient, Level 3                             120
Office Visit, New Patient, Level 4                             155
Office Visit, Established Patient, Level 1                    36
Office Visit, Established Patient, Level 2                   55
Office Visit, Established Patient, Level 3                    75
Office Visit, Established Patient, Level 4                    110
Office Visit, Established Patient, Level 5                  160

 

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Girard Medical Center 302 North Hospital Drive Girard, KS  66743

620-724-8291 Fax: 620-724-6332

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