Hospital Charges

Inpatient Room and Board
Service Price $ Per
Room and Board $985 Nightly
Leave of Absence $0 Nightly

 

Inpatient Physician Visit

Service Price $ Per
99221 $150 Visit
99222 $175 Visit
99223 $200 Visit
99231 $60 Visit
99232 $75 Visit
99233 $120 Visit
99238 $85 Visit

 

Inpatient Vision Services

Service Price $ Per
92004 $135 Visit
92014 $120 Visit

 

Inpatient Social Work Services

Service Price $ Per
92802 $31 15 minutes
92803 $31 15 minutes

 

Dietary Services

Service Price $ Per
97802 $50 15 minutes
97803 $32 15 minutes

 

Occupational Therapy Services

Service Price $ Per
97003 $150 Visit
97004 $60 Visit
97542 $30 15 minutes
97110 $36 15 minutes
97140 $42 15 minutes
97530 $37 15 minutes
97532 $37 15 minutes
97533 $41 15 minutes
97535 $33 15 minutes
92526 $120 Visit

 

Radiology

Service Price $ Per
72020 $64 ea
72080 $97 ea
72100 $93 ea
72170 $77 ea
72190 $102 ea
73520 $121 ea

 

Outpatient Physician Visit

Service Price $ Per
99201 $55 Visit
99202 $75 Visit
99203 $105 Visit
99204 $150 Visit
99205 $200 Visit
99211 $35 Visit
99212 $40 Visit
99213 $75 Visit
99214 $95 Visit
99215 $150 Visit
99241 $75 Visit
99242 $125 Visit
99243 $175 Visit
99244 $225 Visit
99245 $300 Visit

 

Speech Therapy Services

Service Price $ Per
92521 $200 Visit
92522 $200 Visit
92523 $200 Visit
92524 $200 Visit
92610 $150 Visit
92607 $175 Visit
92608 $50 30 minutes
92526 $120 Visit
92507 $84 Visit
92609 $175 Visit
92508 $42 Visit

 

Physical Therapy Sevices

Service Price $ Per
97001 $150 Visit
97002 $66 Visit
97542 $30 15 minutes
97110 $36 15 minutes
97112 $36 15 minutes
97113 $40 15 minutes
97116 $33 15 minutes
97140 $42 15 minutes
97530 $37 15 minuts
29405 $160 Visit
29125 $112 Visit
29126 $105 Visit
29515 $125 Visit