Compliance

Patient Price Information List

In compliance with state law, Madison County Hospital is providing this price list containing some of our charges for room and board, the emergency room, operating room, delivery, and common radiological, laboratory, and therapy procedures. Our prices are the same for all patients, regardless of whether they have insurance. Patients with insurance, however, may owe different amounts based on their individual insurance policy benefits. We are aware that the trend in healthcare is to place more responsibility for payment on patients. We have responded to this trend by improving discounts to uninsured and underinsured patients. We also have a charity program and offer a wide range of payment plans. Please ask our Customer Service department for details.

Room Rates – per day charge
The following list does not include charges for drugs, supplies, ancillary tests (i.e. x-rays, labs), or any surgical procedures that may be required during your stay.

Med/Surg Semi Priv $   559  
Med/Surg Private  $   571  
OB/Gyn Semi Priv  $   559
OB/Gyn Private  $   571
Skilled Semi Priv $   362
Skilled Private $   362

Labor and Delivery
The following list does not include charges for anesthesia, drugs, or supplies required for the delivery room procedure.  Additionally, this price does not include charges associated with your subsequent stay after delivery. Fees for physician services or anesthesia administration are also not reflected, and will be billed separately by the physician.

Birthing room (vaginal delivery) $   949.90
Operating room (cesarean delivery) $2,243.90

Emergency Room 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 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 (i.e. x-rays, labs) procedures that may be required for a particular emergency treatment. They also do not include fees for physicians, who will bill separately for their services.

Level 1 $   150.00
Level 2 $   180.00
Level 3 $   260.00
Level 4 $   380.00
Level 5 $   500.00

Operating Room Charges
The following charges do not include fees for drugs, supplies or additional ancillary (i.e. x-rays, labs) procedures that may be required for a particular surgical procedure. Additionally, this price does not include charges associated with your recovery after surgery.  They also do not include fees for physicians, who will bill separately for their services.

Set-up and 1st ½ hour $1,539.60
Each additional ¼ hour $   700.00

Physical Therapy Charges
The following charges reflect the most common services offered by our Physical Therapy department. Many of the charges are necessarily based on time increments. There may be additional charges depending on the services performed.

Evaluation  $   125.00
Re-evaluation  $     80.00
Therapeutic Exercise $     85.00
Gait Training $     65.00
Electrical Stimulation $     85.00

Occupational Therapy Charges
The following charges reflect the most common services offered by our Occupational Therapy department. Many of the charges are necessarily based on time increments. There may be additional charges depending on the services performed.

Evaluation $  125.00
Re-evaluation   $    80.00
ADL/home training $    85.00
Therapeutic Exercise $    85.00
Cognitive Skills $    85.00

Respiratory Therapy Charges
The following charges reflect the most common services offered by our Respiratory Therapy department. Many of the charges are necessarily based on time increments. There may be additional charges depending on the services performed.

IPPB treatment $     61.15
Medication Nebulizer $     40.80
Ventilator 1st day $   608.25

X-ray and Radiological Charges
The following charges reflect the hospital’s 30 most common x-ray and radiological procedures. Contrast (a type of medication) is a separate charge.

Abdomen CT w/contrast  $1,385.50
Abdomen CT w/o contrast  $1,109.35
Abdomen x-ray 1 view $   169.30
Abdomen x-ray series $   375.00
Ankle x-ray complete  $   170.00
Bone Density axial $   281.60
Brain CT w/o contrast $1,039.15
Brain MRI w/ & w/o contrast   $1,500.00
Chest CT w/contrast  $1,400.00
Chest x-ray 1 view $   140.00
Chest x-ray 2 view  $   160.00
C-spine CT w/o contrast $1,300.00
Cervical Spine $   300.00
CV Direct Duplex  $   500.00
Foot x-ray complete $   175.00
Gall Bladder ultrasound   $   400.00
Hand x-ray complete $   208.90
Knee x-ray 1or 2 views $   170.00
Lumbar Spine             $   300.00
Mammogram screening, bil $   116.05
MRI-Lumbar spine w/o $1,500.00
2D Echocardiogram   $   700.00
Doppler echocardiography $   250.00
Colorflow mapping - echocardio  $   250.00
Pelvis CT w/contrast  $1,285.00
Pelvis CT w/o contrast $1,109.35
Pelvis ultrasound non OB $   450.00
Shoulder x-ray complete $   208.90
Transvaginal ultrasound $   400.00
Up Extrem Duplex $   404.40

Laboratory Charges
The following charges reflect the hospital’s 30 most common outpatient laboratory procedures.

  Inpatient Outpatient
CBC  $   30.00 $   70.00
PTT $   30.00  $   70.00
PT  $   16.60 $   43.40
Alkaline Phosphatase $   22.00 $   55.00
Bili Total   $   22.00  $   55.00
Bun Area Nitrogen $   17.00 $   45.00
Calcium $   20.00 $   50.00
Chloride Blood  $   20.00 $   50.00
CO2 content   $   20.00 $   50.00
Creatinine $   17.00 $   45.00
CPK   $   26.85   $   65.00
Glucose non-fasting $   17.00 $   45.00
Magnesium $   30.00 $   70.00
Potassium $   20.00 $   50.00
Sodium $   14.05   $   40.00
Albumin Serum $   17.00  $   45.00
Total Protein $   20.00  $   50.00
SGOT $   22.00 $   55.00
SGPT $   22.00   $   55.00
Urine Aerobic culture  $   26.85 $   65.00
Hepatic Function panel  $ 109.90   $ 160.00
Lipid panel $   50.00  $   90.00
Blood Aero/Anero Culture  $   33.25 $   80.00
ABO Blood Group $   14.05 $   40.00
RH   $   14.05 $   40.00
Routine Urinalysis $   26.85 $   65.00
TSH $   40.00 $   85.00
Hemoglobin A1  $   26.85  $   65.00
Troponin I $   40.00 $   85.00
MB Monoclonal  $   26.85   $   65.00

Billing
If you have insurance, we will bill the insurance company for you. On occasion, we may have to involve you, as the policy holder, to get your insurance company to pay a claim. If you don’t have insurance, please call our Customer Service Department at 845-7031 or toll-free at 1-800-218-1410 to see what discounts you may qualify for and to make payment arrangements. We do not charge interest or late charges. Our Customer Service Department can also give you telephone numbers so that you can check on the price a physician will charge for the service they provide here.