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In compliance with state law, Aultman Orrville 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 counseling staff to determine whether they qualify for discounts by calling direct at 330-684-4616 or our main line at 330-682-3010. These prices are effective as of 01/01/2017.



ROOM AND BOARD

The following list does not include charges for drugs, ancillary tests (i.e. x-rays, labs), physician fee, or any surgical procedures that may be required during your stay.

ICU $1,936.00
Med Surg $814.00
Swing $1,188.00
OB $832.00
Nursery $678.00

LABORATORY


The following charges reflect the hospital’s most common outpatient laboratory procedures.

Aerob Blood Culture $ 87.00
Antibody Screen $ 77.00
Auto Urine Dip w/ Micro $ 54.00
Bacteria Culture, Urine $ 46.00
Basic Panel $ 89.00
Comprehensive Panel $ 124.00
Lipid Panel $ 144.00
Bilirubin Total $ 31.00
Blood Gas Profile $ 118.00
Blood Typing, ABO $ 30.00
Blood Typing, RH D $ 33.00
CBC $ 45.00
CPK Total $ 41.00
Creatinine $ 36.00
Digoxin $ 84.00
Glucose $ 30.00
Gram or Giemsa, Smear $ 48.00
Hematocrit $ 29.00
Hemoglobin $ 28.00
Potassium $ 33.00
Prothrombin Time $ 44.00
PSA Screen $ 124.00
PTT $ 64.00
Sed Rate $ 24.00
SL4 Tissue Exam, Pathologist $ 246.00
Streptex $ 81.00
T-3 Free $ 98.00
Thyroid Stimulating Hormone $ 134.00
Troponin $ 145.00
Urea Nitrogen $ 31.00
Vit D, 25 Hydroxy $ 161.00
EKG, Tracing 12 Lead $ 143.00


RADIOLOGY

The following charges reflect the hospital’s most common x-ray and radiological procedures. Contrast (a type of medication) is a separate charge. Physician fees are not included.

Diagnostic, Abdomen/KUB (1 view) $ 250.00
Diagnostic, Ankle (3 views) $ 269.00
Diagnostic, Bone Density Axial $ 343.00
Diagnostic, Chest (1 view) $ 234.00
Diagnostic, Chest (2 views) $ 298.00
Diagnostic, Elbow (2 views) $ 170.00
Diagnostic, Femur (2+ views) $ 258.00
Diagnostic, Finger or Thumb (2+ views) $ 214.00
Diagnostic, Foot (3 views) $ 285.00
Diagnostic, Forearm (2 views) $ 285.00
Diagnostic, Hand (2 views) $ 169.00
Diagnostic, Hip (2-3 views) $ 256.00
Diagnostic, Knee (1-2 views) $ 221.00
Diagnostic, Knee (4+ views) $ 355.00
Diagnostic, Lower Spine (4-5 views) $ 456.00
Diagnostic, Pelvis (1-2 views) $ 221.00
Diagnostic, Shoulder (2-3 views) $ 275.00
Diagnostic, Skull (4+ views) $ 339.00
Diagnostic, Tib-Fib (Lower Leg) (2 views) $ 249.00
Diagnostic, Unilateral Ribs (2 views) $ 267.00
Diagnostic, Wrist (2 views) $ 169.00
Mammography, Diagnostic Mammogram with CAD (Bilateral) $ 221.00
Mammography, Diagnostic Tomosynthesis (Bilateral) $ 73.00
Mammography, Screening Mammogram with CAD (Bilateral) $ 221.00
Mammography, Screening Tomosynthesis (Bilateral) $ 73.00
Cardiovascular Ultrasound, Echo Complete $ 1,600.00
Ultrasound, Pelvic $ 557.00
Ultrasound, Abdomen $ 504.00
Ultrasound, Thyroid $ 583.00
OB Ultrasound, Basic $ 187.00
OB Ultrasound, Limited $ 239.00
OB Ultrasound, Detailed $ 737.00
Nuclear, Myocardial Perfusion $ 2,506.00
CT, Head/Brain w/ Contrast $ 1,455.00
CT, Head/Brain w/o Contrast $ 1,099.00
CT, Head/Brain w & w/o Contrast $ 1,945.00
CT, Abdomen/Pelvis w/ Contrast $ 2,964.00
CT, Abdomen/Pelvis w/o Contrast $ 2,004.00
CT, Abdomen/Pelvis w & w/o Contrast $ 3,232.00
CT, Angiography Chest $ 2,008.00
CT, Cervical Spine w/o Contrast $ 1,670.00
MRI, Brain w/ Contrast $ 2,797.00
MRI, Brain w/o Contrast $ 1,775.00
MRI, Brain w & w/o Contrast $ 3,482.00
MRI, Spine/Lumbar w/o Contrast $ 2,386.00
MRI, Lower Extremity/Joint $ 2,625.00
MRI, Upper Extremity/Joint $ 2,625.00
MRA, Head w/o Contrast $ 1,590.00

OPERATING ROOM


The following charges do not include fees for drugs, specialty supplies or additional ancillary (i.e. x-rays, labs) procedures that may be required for a particular surgical procedure. Additionally, this price does not include charges associated with your recovery after surgery.  They also do not include fees for physicians, who will bill separately for their services. 
 
O.R. Level 1 - Setup $ 3,590.00
O.R. Level 1 - Each Minute $ 35.00
O.R. Level 2 - Setup $ 3,821.00
O.R. Level 2 - Each Minute $ 38.00
O.R. Level 3 - Setup $ 4,399.00
O.R. Level 3 - Each Minute $ 41.00
O.R. Level 4 - Setup $ 5,557.00
O.R. Level 4 - Each Minute $ 48.00
O.R. Level 5 - Setup $ 6,946.00
O.R. Level 5 - Each Minute $ 77.00
Colonoscopy $ 1,085.00
Gastroscopy $ 779.00

EMERGENCY ROOM

Emergency Department charges are based on the level of emergency care provided to our patients. The levels, with level I representing basic emergency care, reflect 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, or additional ancillary (i.e. x-rays, labs) procedures that may be required for a particular emergency treatment. They also do not include fees for physicians, who will bill separately for their services.

Level I $ 297.00
Level II $ 388.00
Level III $ 585.00
Level IV $ 742.00
Level V $ 927.00

DELIVERY ROOM

The following does not include charges for anesthesia, drugs, or supplies required for the delivery room procedure. Additionally, this price does not include charges associated with your subsequent stay after delivery. Fees for physician services or anesthesia administration are also not reflected, and will be billed separately by the physician. 

Vaginal Delivery $ 2,968.00
C-Section O.R. - Setup $ 4,399.00
C-Section O.R. - Each Minute $ 41.00
Tubal Ligation $ 7,908.00
Labor Induction $ 1,534.00
 Circumcision $ 500.00


RESPIRATORY THERAPY

The following charges reflect the most common services offered by our Respiratory Therapy department. Many of the charges are necessarily based on time increments. There may be additional charges depending on the services performed.

Airway Inhalation Treatment $ 96.00
Oxygen Therapy/Day $ 101.00


PHYSICAL THERAPY

The following charges reflect the most common services offered by our Physical Therapy department. Many of the charges are necessarily based on time increments. There may be additional charges depending on the services performed.

Evaluation - Low Complexity $ 206.00
Evaluation - Moderate Complexity $ 229.00 
Evaluation - High Complexity  $ 252.00 
Therapeutic Exercise (15 minutes) $ 112.00
Ultra Sound (15 minutes) $ 45.00
Manual Therapy (15 minutes) $ 105.00
Electric Stimulation (unattended) $ 41.00

OCCUPATIONAL THERAPY

The following charges reflect the most common services offered by our Physical Therapy department. Many of the charges are necessarily based on time increments. There may be additional charges depending on the services performed.

Evaluation - Low Complexity $ 213.00
Evaluation - Moderate Complexity   $ 237.00 
Evaluation - High Complexity  $ 261.00 
Therapeutic Exercise (15 minutes) $ 112.00
Ultra Sound (15 minutes) $ 45.00
Manual Therapy (15 minutes) $ 105.00
Electric Stimulation (unattended) $ 41.00


OTHER COMMON ANCILLARY CHARGES

The following charges reflect the most common services offered by our outpatient departments. There may be additional charges depending on the services performed.  Fees for physician services, if applicable, are also not reflected, and will be billed separately by the physician. 

Cardiac Rehab/Monitor $ 167.00
Stress Test Procedure $ 826.00
Polysominography, 4+ Attended $ 4,094.00
Polysominography, 4+ Attended w/ CPAP $ 4,502.00

You may contact the following physicians for their fee schedule:

​PATHOLOGIST
Canton Pathology Associates, Inc.
2600 Sixth Street, SW
Canton, OH 44710
330-363-6308

ANESTHESIA
Aultman Orrville Anesthesia
832 South Main Street
Orrville, Ohio 44667
Aultman MSO, Inc. 330-479-8705

EMERGENCY ROOM PHYSICIAN
Canton Aultman Emergency Physicians 
First Healthcare
6161 Oak Tree Blvd., Suite 302
Independence, Ohio 44131
216-236-2020
Patient Call Line: 800-550-6805   

SURGERY
Aultman Orrville General Surgery
830 South Main Street, Suite 101
Orrville, Ohio 44667
330-682-0500

WOMEN'S HEALTH SERVICES / OB-GYN
Amelia E. Laing, M.D.
Aultman Medical Group
832 S Main St., Suites 7 & 8
Orrville, OH 44667
330-684-4797

My OB/GYN
Nicholas Sherock, M.D., Erica Downey, M.D., Richele Thompson CNP,CNM
830 S. Main St., Suite 102
Orrville, OH 44667
330-765-9104


  • Becker's Hospital Review
  • Mammography Services
  • Sports and Wellness
  • Birth Center
  • Emergency Wait Times
  • Physical Therapy
  • CT Imaging
Call a Patient: 330-684-4700
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