Price List

In order to provide our patients with information that will help them understand their hospital charges, Genoa Community Hospital 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 (402) 993-4597 to determine whether they qualify for a discount. These prices are correct as of January 1, 2014 but are subject to change.

ROOM AND BOARD PER DAY

Hospital - $840
Swing Bed - $785

OPERATING ROOM

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.

Minor Surgery - first 30 minutes $454
Minor Surgery - each add'l 15 minutes $141
Major Surgery - first 30 minutes $733
Major Surgery - each add'l 15 minutes $245
Colonoscopy $2,583
Endoscopy $2,583

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 $131
Emergency Room Level II $209
Emergency Room Level III $328
Emergency Room Level IV $494
Emergency Room Level V $706
Emergency Room Level VI $1,125
Emergency Room Level VII $1,260
Critical Care - first 30 - 74 minutes $1,326
Critical Care - each add'l 30 minutes $936
Trauma Response Team $1,082

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) $76
Amylase, Blood $76
Arterial Blood Gases (ABG) $142
AST SGOT $57
Basic Metabolic Profile (BMP) $143
Blood Drawing Charge $20
BNP $245
BUN $41
Cardiac Panel III $440
Cardiac Panel IV $813
CBC $68
CKMB Quantative $141
Comp Metabolic Profile (CMP) $197
Creatinine Blood $44
Digoxin $112
Dilantin total $112
Electrolytes $90
Glucose Fasting $54
Hematocrit $37
Hemoglobin $37
Hemoglobin A1C $60
Hepatic Function Panel $119
Lipase $27
Coronary Risk Profile $112
Magnesium $96
Mycoplasma $76
Occult Blood $26
Pregnancy Test $46
PSA $131
PTT/APTT $57
Sedimentation Rate $33
Sensitivity, MIC $85
T-3 Uptake $16
T4, Thyroxine $16
Troponin I $158
TSH- Thyroid Stimulating Hormone $89
Urinalysis Rout (No Micro) $36
Urine Culture $109

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 $203
Abdomen, 2 view $191
Ankle, 3-5 views $209
Cervical Spine, 5 views $378
Chest Xray, 1 view $192
Chest Xray, 2 views $230
CT Scan, Pelvis/Abdomen, with contrast $1,820
CT Scan, Cervical Spine, without contrast $1,674
CT Scan, Chest, with contrast $1,878
CT Scan, Head/Brain, without contrast $1,515
Finger, 2-3 views $151
Foot, 3 views $212
Hand, 3 views $221
Hip, 2 views $210
Knee, 3 views $234
Lumbar Spine, 4 views $360
MRI, Brain, with and without contrast $2,940
Pelvis, 1 view $188
Shoulder, 2-3 views $233
Wrist, 3 views $198

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.

Evaluation $127
Gait Training per 15 minutes $60
Manual therapy ea 15 minutes $75
Neuromuscular re-education ea 15 minutes $68
Therapeutic Exercise ea 15 minutes $68
Ultrasound ea 15 minutes $53

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.

Evaluation $127
Therapeutic Activities ea 15 minutes $68