Prices

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.

Room and Board - Per Day Charges

  Charges
Routine $932.00
Obstetric Care $932.00
Nursery $803.00
Pediatric Care $958.00
Intermediate Care $1,163.00
Intensive Care $1,895.00

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.

  Charges
Level 1 $126.70
Level 2 $167.10
Level 3 $282.50
Level 4 $540.60
Level 5 $767.90
Critical Care    $1,303.80

Operating Room Charges

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
Level 1     $676.30 $215.30
Level 2 $1,208.60 $430.60
Level 3 $1,470.20 $543.80
Level 4 $1,802.00 $670.60
Level 5 $2,067.90 $787.50
Level 6 $2,349.70 $908.60


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. Total charges will depend on the length of stay.

  Charges
Labor & Delivery Services-Day of Delivery   $2,387.80
Fetal Monitor Non-Stress Test $182.80


Physical & Occupational Therapy Charges

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.

CPT Procedure Charge
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

Cardio/Pulmonary Therapy Charges

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.

CPT Procedure Charge
82805     Blood Gas Analysis $134.60
93005 Electrocardiogram Without Interpretation     $126.00


X-Ray and Radiological Charges

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.

CPT Procedure Charge
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
71275 CTA Chest $1,431.10
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
76775 US Renal $518.50
76856 Ultrasound Pelvis $659.00
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

Laboratory Charges

The following charges reflect the hospital's 30 most common laboratory procedures.

CPT Procedure Charge
36415 Venipuncture $17.50
80048 Basic Metabolic Panel $139.40
80051 Electrolytes $107.20
80053 Comp Metabolic Panel $215.30
80061 Lipid Profile $120.30
80076 Hepatic Function Panel $134.00
81001 Urinalysis Routine $49.00
82550 Creatinine Kinase Total $68.60
82553 Creatinine Kinase MB Fraction Only $116.80
82565 Creatinine (Serum) $40.30
83036 Hemoglobin A1C $89.60
83690 Lipase Level $87.50
83874 Myoglobin $112.10
84443 Thyroid Stimulating Hormone (TSH) $114.50
84484 Troponin Quantitative $93.80
84520 BUN $38.30
85025 Complete Blood Count With Differential      $76.50
85027 Complete Blood Count $68.90
85610 Prothrombin Time $40.40
85730 Thromboplastin Time (PTT) $51.30
86140 C-Reactive Protein $73.30
86900 ABO/Rh $74.80
86901 RH Typing $45.10
87040 Blood Culture $144.80
87077 NID2 $58.40
87086 Urine Culture $60.70
87186 Neg Urine Combo Panel 51 $86.20
88305 Pathology Level IV Comp $242.00
83735 Magnesium Level $59.70
83880 B-Type Natriuretic Peptide $125.10

Hospital Billing Policies

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) after insurance payments are received 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 or 419-660-2679.

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...
ConsumersGuideLink