In compliance with state law, Greene Memorial 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
financial counselors to determine whether they qualify for discounts.
These prices are correct as of November 1, 2006. |
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Room and Board -- Per Day Charges
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| Intensive Care
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$2,600.00
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| Nursery
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$650.00
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| Psychiatric Care
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$1,000.00
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| Routine Care
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$1,050.00
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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.
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| Normal Delivery
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$2,103.00
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| Cesarean Section Delivery
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$2,632.00
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| Amniocentesis
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$160.00
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| Fetal Monitor per hour
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$129.00
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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, additional procedures performed 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 or other physicians involved in your care, who will bill separately for their services.
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| Level 1
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$239.00
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| Level 2
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$374.00
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| Level 3
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$563.00
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| Level 4
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$842.00
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| Level 5
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$1,307.00
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| Critical care first hour
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$1,974.00
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| Critical care each 1/2 hour
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$929.00
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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 performed.
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| Physical Therapy Evaluation
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$368.00
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| Therapeutic Procedure; per 15 minutes
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$114.00
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| Gait Training; per 15 minutes
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$81.00
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| Ultrasound
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$88.00
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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 performed.
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| Occupational Therapy Evaluation
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$368.00
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| Therapeutic Procedure; per 15 minutes
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$114.00
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| Manual Therapy; per 15 minutes
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$114.00
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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.
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| Pulmonary Rehabilitation: Individual
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$85.00
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| Pulmonary Rehabilitation: Group
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$85.00
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X-Ray and Radiological Charges
The following charges reflect the hospital's 30 most common x-ray and radiological procedures.
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| Abdomen X-Ray; 2 views
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$340.00
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| Acute Abdomen Series
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$264.00
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| Ankle x-ray; minimum 3 views
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$201.00
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| Ankle x-ray; 2 views
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$148.00
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| Chest X-ray; PA and Lateral
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$366.00
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| Chest; 1 View (AP)
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$318.00
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| Cat Scan; Abdomen without contrast
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$1,320.00
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| Cat Scan; Abdomen with contrast
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$1,502.00
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| Cat Scan; Chest with contrast
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$1,521.00
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| Cat Scan; Head without contrast
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$1,302.00
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| Cat Scan; Pelvis without contrast
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$1,371.00
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| Cat Scan; Pelvis with contrast
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$1,696.00
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| Dexa Scan (Bone Density)
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$418.00
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| Foot X-ray; minimum 3 views
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$226.00
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| Hand X-ray; minimum 3 views
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$220.00
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| Hip X-ray; 2 view
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$269.00
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| Knee X-ray Complete; minimum 4 views
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$268.00
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| Knee X-ray; 2 views
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$203.00
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| Mammogram; diagnostic, unilateral
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$170.00
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| Mammogram; screening
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$169.00
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| Mammogram; screening
(Computerized Aided Detection)
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$50.00
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| Myocardial Perfusion Study
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$3,272.00
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| Ribs X-ray; unilateral
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$265.00
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| Shoulder X-Ray; unilateral
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$216.00
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| Pelvis Ultrasound
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$469.00
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| Transvaginal Ultrasound
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$464.00
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| Breast Ultrasound
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$361.00
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| Spine, Cervical X-ray; 2 view
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$305.00
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| Spine, Lumbosacral X-ray
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$340.00
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| Wrist X-ray; 3 views
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$233.00
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Laboratory Charges
The following charges reflect the hospital's 30 most common laboratory procedures.
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| Amylase, serum
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$99.00
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| APTT
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$120.00
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| Basic Metabolic Panel
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$152.00
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| Bilirubin, Direct
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$57.00
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| Blood Culture
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$165.00
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| Blood Gas, arterial
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$152.00
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| Blood Glucose; finger stick test
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$30.00
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| CK
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$78.00
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| CK-MB
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$102.00
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| Complete Blood Count with differential
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$85.00
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| Complete Metabolic Panel
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$211.00
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| Cytology thin prep. Pap smear
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$71.00
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| Drug Screen; Urine
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$366.00
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| Hemoglobin A1C
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$171.00
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| Hemoglobin and Hematocrit
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$74.00
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| Hepatic Profile
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$162.00
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| Lipase
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$103.00
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| Lipid Profile
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$190.00
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| Magnesium
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$102.00
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| Pregnancy Test; Urine
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$117.00
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| Protime
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$81.00
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| Rapid Strep Screen
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$68.00
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| Sed Rate
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$66.00
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| T4, Free
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$144.00
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| Thyroid Stimulating Hormone
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$153.00
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| Troponin I
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$138.00
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| Urinalysis; chemical only
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$31.00
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| Urinalysis; complete
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$46.00
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| Urinalysis; microscopic
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$30.00
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| Urine Culture
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$106.00
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| Venipuncture
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$20.00
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| Hospital Billing Policy |
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As a patient of Greene Memorial Hospital, we will bill your insurance company for
the services rendered at any of our facilities. It is your obligation to give us the
correct information regarding your insurance company and demographics in
efforts to complete the billing processes. Upon payment from your insurance
company, if there is an outstanding balance, it is your responsibility to fulfill the
outstanding balances.
If you are uninsured or self-pay and need assistance fulfilling your remaining
balance; you can contact the Greene Memorial Hospital’s financial counselors. If
you need assistance, Greene Memorial Hospital does have financial aid programs
available to assist you. The programs include Hospital Assurance Program
(HCAP), Charity Care, CarePayment Credit Card, and Medicaid Enrollment
assistance.
Please be aware, that you may receive additional bills from physicians and/or
other professional that took part in delivering your care; for example, emergency
room physicians, radiologists and pathologists.
Hospital charges do not include professional fees. Charges for hospital based
physicians contracted with GMH may be obtained from the following: |
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| Hospitalists |
Anthesiology |
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Greene Memorial Hospital Services, Inc
1141 N. Monroe Dr.
Xenia, Ohio 45385
937-352-2789 |
Mont Green Anesthesiology, Inc.
3180 Kettering Boulevard
Dayton, Ohio 45439
937-297-6072 |
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| Radiology |
Pathology |
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Medical Imaging Physicians, Inc.
2591 Miamisburg Centerville Rd.
Dayton, Ohio 45459
937-276-8000 |
Southwestern Pathologists, Inc.
1141 N. Monroe Dr.
Xenia, Ohio 45385
1-877-262-2161 |
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