|  | Pricing Information
In compliance with state law, Knox Community Hospital is providing this price list containing our charges for room and board, emergency department, operating room, 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 billing staff to determine whether they qualify for discounts.
These prices are correct as of January 1, 2008. Charges for physician, radiologist, pathologist, and anesthesiologist services
are not included in the prices below.
To obtain this information, please call (740) 393-9630 or toll free (800) 393-2922 (extension 9630).
Additional pricing information for Knox Community Hospital
services can be obtained by calling (740) 393-9636.
| Room and Board – Per Day Charges | |
Intensive Care Unit
Step Down
Progressive Care Unit
Routine Nursery
Routine Care | $1,372.54
$1,089.24
$896.10
$493.33
$512.82 |
|
Labor and Delivery Charges
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. |
Cesarean Section Delivery
Circumcision
Fetal Monitor
Fetal Non-Stress Test
Normal Vaginal Delivery | $4,151.18
$159.65
$136.48
$124.85
$976.60 |
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
Level 2
Level 3
Level 4
Level 5
Critical Care 1 – 74 minutes | $103.75
$154.24
$240.37
$346.76
$499.32
$823.00 |
Operating Room Charges
Surgery prices are based upon one primary procedure. Below is a list of the most common surgeries by specialty group. The following list does not include charges for anesthesia, drugs, or supplies required for a particular procedure. Fees for physician services or anesthesia administration are also not reflected, and will be billed separately by your physician. |
Endoscopy
Flexible Colonoscopy
Gallbladder,
Removal of by Laparascope | $1,020.20
$5,072.11 | Ear/Nose/Throat
Ear Tubes – (Tympanostomy) (one side)
Repair of Nasal Septum – (Septoplasty) | $1,896.76
$2,769.48 |
General/Other
Appendix,
Removal of byLaparoscope
Inguinal Hernia,
Repair of Incarcerated | $5,072.11
$3,330.89 | GYN
D&C, (Dilatation and Curettage)
Non-OB Total Abdominal Hysterectomy | $2,008.15
$3,883.74 |
Urology
Vasectomy
Vasectomy, Reversal | $2,735.37
$2,893.11 | Orthopedics
Arthroscopic Knee
Open Carpel Tunnel Release, (wrist) | $2,052.02
$3,324.89 |
Physical Therapy Charges
The following charges reflect the most common services offered by our Physical Therapy department. Patients may have additional charges, depending on the services and or supplies that are used. |
Aquatic Therapy – (pool) per 15 minutes
Manual Therapy – per 15 minutes
Physical Therapy Evaluation – one time charge
Therapeutic Exercise – Range of Motion per 15 minutes
Therapeutic Neurologic Re-education per 15 minutes
Work Conditioning Program per hour | $73.58
$66.24
$160.82
$75.29
$64.20
$124.88 |
Occupational Therapy Charges
The following charges reflect the most common services offered by our Occupational Therapy department. Patients may have additional charges, depending on the services and/or supplies that are used.
Occupation Therapy Evaluation
OT Activities of Daily Living Training
OT Manual Therapy
OT Neurological Re-education
OT Paraffin Bath
OT Therapeutic Exercises | $161.64
$59.54
$66.24
$64.20
$53.28
$75.29 |
Occupational Therapy Charges
The following charges reflect the most common services offered by our Occupational Therapy department. Patients may have additional charges, depending on the services and/or supplies that are used. |
Occupation Therapy Evaluation
OT Activities of Daily Living Training
OT Manual Therapy
OT Neurological Re-education
OT Paraffin Bath
OT Therapeutic Exercises | $161.64
$59.54
$66.24
$64.20
$53.28
$75.29 |
Pulmonary Therapy Charges
The following charges reflect the most common services offered by our Pulmonary Therapy department. Patients may have additional charges, depending on the services performed. |
Arterial Blood Gas
Breathing Treatment
EKG (Electrocardiogram)
PFT Study – Pulmonary Function Test
Polysomnogram – Diagnostic Sleep Study | $127.03
$43.33
$105.53
$213.19
$2,409.67 |
X-Ray and Radiological Charges
The following charges reflect the hospital’s 30 most common x-ray and radiological procedures.
The following list does not include charges for drugs. Additionally, there may be charges for supplies specific to your treatment. Fees for the radiologist readings are also not reflected, and will be billed separately. |
X-Rays
Abdomen
Abdominal Series
Ankle
Cervical Spine
Chest – 1 view
Chest – 2 views
Elbow
Foot
Hand
Hip
Humerus
Knee
Lumbar spine
Pelvis
Sacrum
Shoulder | $191.58
$337.02
$261.06
$215.06
$189.03
$226.19
$241.66
$239.90
$243.09
$220.08
$203.74
$219.55
$317.58
$204.98
$217.44
$243.33 | CAT Scans
CT Abdomen (without & with contrast)
CT Abdomen (without contrast)
CT Chest (with contrast)
CT Head (without contrast)
CT Head (without & with contrast)
CT Pelvis (with contrast)
CT Pelvis (without contrast)
CT Sinuses (without contrast) | $1,791.97
$1,207.78
$1,536.96
$1,202.38
$1,433.81
$1,496.06
$1,313.62
$1,130.20 |
Nuclear Med
Cardiolite Stress Test | $1,958.12 | MRI
MRI Lumbar Spine
(without contrast) | $2,327.47 |
Ultrasound
Ultrasound Pelvis
Ultrasound Right Upper Quadrant | $550.07
$544.09 | Other
DEXA
(Bone density scan)
Mammogram
(both sides)
Screening Mammogram | $238.97
$144.55
$85.00 |
Laboratory Charges
The following charges reflect the hospital’s 30 most common laboratory procedures. These prices are based on specimens drawn in our facility or by our staff. * Please be informed that blood tests will have one additional charge of $12.70 per visit for the blood collection.
A1C* – Glycated Hemoglobin
Amylase*
APTT* – Activated pro-thrombin time
B12*
Blood Culture*
BMP* – Basic metabolic panel
BNP* – Brain Natriuretic Peptide
CBC* – Complete blood count
CMP* – Comprehensive metabolic panel
CRP* – C-Reactive Protein
Creatinine*
D Dimer*
Electrolyte panel*
ESR* – Sedimentation rate
Free T4*
Glucose*
HCG* – Blood pregnancy
HFP* – Liver function panel
Lipid Panel*
Lipase*
Myoglobin*
Pro Time*
PSA* – Prostatic Acid Phosphatase (Screening)
Rapid Strep
Thera PT* – Pro Time (Coumadin level)
Thyroxine*
Troponin I*
TSH* – Thyroid Stimulating Hormone
Urinalysis (complete)
Urine culture (if positive test, additional charges may apply) | $51.62
$39.19
$43.96
$42.76
$101.39
$120.09
$152.38
$59.64
$151.76
$68.46
$31.72
$122.13
$75.12
$27.32
$110.44
$29.77
$54.39
$97.60
$86.20
$43.70
$114.42
$27.33
$66.70
$35.48
$27.33
$53.05
$64.16
$106.04
$40.38
$61.63 |
Hospital Billing Policies
Knox Community Hospital has a trained staff of professionals here to help you with your billing and collection needs. After receiving your services at Knox Community Hospital, a summary of charges will be sent to your home indicating the insurance company that will be billed. As a courtesy to our patients, Knox Community Hospital submits claims to all applicable insurances provided at the time of registration.
Once all applicable insurances have paid their obligated portion, Knox Community Hospital will send a statement to the listed responsible party. If you are unable to pay the amount due, please call one of our customer service representatives immediately to make other arrangements. You can contact a customer service representative by calling (740) 393-9630 or toll free (800) 393-2922 (extension 9630) between the hours of 8:00am and 5:00pm. Knox Community Hospital payment plans are interest free and have no service fees.
Alternate payment options and financial aid are available to qualified uninsured and underinsured patients. Financial aid applications can be found on the back of your statements or can be obtained by contacting a customer service representative at one of the above phone numbers. If you have questions concerning the financial assistance program, please contact a financial counselor at (740) 393-9639 or (800) 393-2922 extension 9639.
We invite you to share your comments and concerns with us by submitting them to:
Patient Financial Services
Customer Relations
1330 Coshocton Road
Mount Vernon, Ohio 43050
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 at www.ohanet.org.
1330 Coshocton Road, Mount Vernon, Ohio 43050 | 740.393.9636 | www.KnoxCommHosp.org
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