In compliance with state law, Fisher-Titus Medical Center provides this price list. 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 financial counselors to determine whether they qualify for discounts. These prices are correct as of January 1, 2017.
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.
Operating Room charges are based on the complexity level, with level 1 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.
|First 30 Minutes||Each Additional 15 Minutes|
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. Total charges will depend on the length of stay.
|Labor & Delivery Services-Day of Delivery||$2,387.80|
|Fetal Monitor Non-Stress Test||$182.80|
The following charges reflect the most common services offered by our Occupational and Physical Therapy departments. Patients may have additional charges, depending on the services performed.
|97110||Exercise Therapy-15 Minutes||$61.80|
|97530||Functional Activity-15 Minutes||$61.80|
|97113||Pool Therapy-15 Minutes||$70.00|
|97035||Ultrasound Therapy-One Area||$79.80|
The following charges reflect the most common services offered by our Cardio/Pulmonary Therapy department. Patients may have additional charges, depending on the services performed.
|82805||Blood Gas Analysis||$134.60|
|93005||Electrocardiogram Without Interpretation||$126.00|
The following charges reflect the hospital's 30 most common x-ray and radiological procedures only. The patient will be billed separately by the Radiologist for the professional fee associated with reading the xray or image.
|70450||CT Brain Without Contrast||$1,046.30|
|70551||MRI Brain Without Contrast||$2,321.60|
|71010||Chest Single View||$200.70|
|71020||Chest Two Views||$251.00|
|72040||Spine/Cervical 2 or 3 Views||$216.50|
|72100||Lumbar Spine 2 or 3 Views||$233.20|
|72110||Lumbar Spine Minimum 4 Views||$402.60|
|72125||CT Spine Cervical w/o Contrast||$1,275.00|
|72148||MRI Lumbar Spine Without Contrast||$2,425.00|
|73030||XR Shoulder Complete||$261.20|
|73130||XR Hand Complete||$247.10|
|73564||Knee Complete 4+ Views||$280.30|
|73610||XR Ankle Complete||$249.40|
|73630||Foot 3 Views||$249.40|
|74000||Abdomen Single View||$188.80|
|74022||Complete Acute Abdomen Series||$345.30|
|74176||CT Abdomen/Pelvis w/o Contrast||$2,235.10|
|74177||CT Abdomen/Pelvis w Contrast||$2,456.75|
|76705||Ultrasound Gall Bladder||$515.00|
|77080||Dexa Bone Density||$329.85|
|78452||Myocardial Perfusion Multiple Studies||$3,810.05|
|93880||Duplex Scan Carotid Arteries||$719.10|
|G0202||Screening Mammogram Bilateral||$181.55|
|G0204||Diagnostic Mammogram Bilateral||$244.10|
|71260||CT Chest w/ Contrast||$1,270.80|
|72050||XR Spine Cervical Mimimum 4 Views||$381.20|
|76641||US Breast Unilateral Complete||$325.00|
The following charges reflect the hospital's 30 most common laboratory procedures.
|80048||Basic Metabolic Panel||$139.40|
|80053||Comp Metabolic Panel||$215.30|
|80076||Hepatic Function Panel||$134.00|
|82550||Creatinine Kinase Total||$68.60|
|82553||Creatinine Kinase MB Fraction Only||$116.80|
|84443||Thyroid Stimulating Hormone (TSH)||$114.50|
|85025||Complete Blood Count With Differential||$76.50|
|85027||Complete Blood Count||$68.90|
|85730||Thromboplastin Time (PTT)||$51.30|
|87186||Neg Urine Combo Panel 51||$86.20|
|88305||Pathology Level IV Comp||$242.00|
|83880||B-Type Natriuretic Peptide||$125.10|
Fisher-Titus Medical Center is a non-profit hospital and is committed to providing medically necessary services to all patients regardless of their ability to pay for the services rendered.
The Fisher-Titus Medical Center provides quality health care in a cost-effective manner to the residents of the Huron County area and maintains a strong financial foundation that includes the timely collection of accounts. Our billing and collection policy incorporates expectations for payment of services based on consistent criteria that considers the individuals financial condition and circumstance.
For patients covered by insurance, the Fisher-Titus Medical Center submits claims directly to the patients insurer on a timely basis. The patients liability (or balance owing) is pursued according to established collection guidelines. The Fisher-Titus Medical Center does not charge interest on patient accounts.
Uninsured or underinsured patients with balances owing can be screened for Medicaid eligibility and financial assistance. If the patient does not qualify for Medicaid or financial assistance, payment arrangements are available through the financial counseling office.
Financial Counseling has two full time counselors available to assist patients in completing the financial assistance process and to help patients resolve the self-pay portion of their accounts. The financial counselors can be reached at 1-800-589-3862 or 419-660-2678.
Consumers can access a number of government and private Websites, which provide additional information on hospitals' charges and quality.
For a complete listing of available online resources, please visit...
The Consumer's Guide to Quality Health Care in Ohio