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Package

Inpatient major cardiothoracic procedures with cardiac catheterization

Package

Inpatient major cardiothoracic procedures with cardiac catheterization

Inpatient major cardiothoracic procedures with cardiac catheterization treat serious heart or chest conditions and may include catheterization to assess the heart in detail during the same admission. Patients are admitted to the hospital and may spend time in intensive care for close monitoring during early recovery. These procedures are recommended when significant intervention is needed to address valve disease, structural heart conditions, or other complex cardiothoracic problems. Recovery involves a hospital stay followed by a structured plan to gradually restore strength and heart function.
You'd pay up to
$146,764 / Case Rate

A single, all-inclusive pricing methodology for a procedure in healthcare contracts, instead of separate charges for each service.

The estimated total cost of care without any insurance coverage or discounts.

$146,764

Without insurance

What goes into a price?

Negotiated prices across insurers

Lowest
$71,484
Highest
$227,713
Cash price
up to $146,764

Self pay or cash prices vary by facility when paying out of pocket without insurance benefits. The chart shows you how the lowest and highest amounts facilities charge for this service if you were paying without insurance benefits. If you're uninsured or not submitting a claim to insurance, you also have the right to a Good Faith Estimate under federal law. Contact the provider for a copy of your Good Faith Estimate or to better understand payment options available to you.

Procedures included in this package

This list includes the services and fees bundled into the Inpatient major cardiothoracic procedures with cardiac catheterization Standard Service Package (SSP CA015). The final price for the procedure will depend on which services your provider ultimately performs, your insurance plan and your medical benefits.

Code Code Type Description
MS-DRG 216 Facility Fee CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH MCC
Revenue Code 206 Facility Fee Intensive Care Unit - Intermediate ICU
HCPCS 99223 Professional Fee Initial Hospital Care: High Complexity History, Exam, Medical Decision Making, 70min Bedside
HCPCS 93306 Professional Fee Transthoracic ultrasound imaging of heart with spectral and color doppler imaging
HCPCS 70450 Professional Fee Computed tomography scan of head/brain without contrast
HCPCS 93010 Professional Fee Electrocardiogram with Interpretation and Report
HCPCS 71045 Professional Fee X-ray of chest for viewing single structure

Disclaimer

Southern Ohio Medical Center is committed to empowering our patients to make informed decisions about their healthcare. This includes helping patients understand the cost of care and the availability of financial assistance.

In compliance with federal law, we provide a list of standard charges that are reviewed on an annual basis. Charges for hospital services are not equivalent to the actual amount paid by insurance companies or patients. The amount paid for services is based on many factors, including health insurance benefit plans, applicable discounts, and services provided based on each patient's unique needs.

You'd pay up to
$146,764 / Case Rate

A single, all-inclusive pricing methodology for a procedure in healthcare contracts, instead of separate charges for each service.

The estimated total cost of care without any insurance coverage or discounts.

Disclaimer

Southern Ohio Medical Center is committed to empowering our patients to make informed decisions about their healthcare. This includes helping patients understand the cost of care and the availability of financial assistance.

In compliance with federal law, we provide a list of standard charges that are reviewed on an annual basis. Charges for hospital services are not equivalent to the actual amount paid by insurance companies or patients. The amount paid for services is based on many factors, including health insurance benefit plans, applicable discounts, and services provided based on each patient's unique needs.

What’s the difference between an individual procedure and a Standard Service Package (SSP)?

Individual Procedure

Individual procedures, like blood tests, each have unique prices and billing codes (like a CPT or HCPCS code). While they can be billed alone, they're usually grouped with other procedures on a claim. This grouping is what determines the total cost of your care.

Standard Service Package (SSP)

A SSP combines all medical services, materials, and fees associated with a healthcare visit or procedure into a single bundle to offer a more comprehensive estimate.

Contact us to verify your estimate

Have your service name, codes, and payment preference ready. If you’re using insurance, you may be asked for insurance details like your Member or Group ID.

Service Inpatient major cardiothoracic procedures with cardiac catheterization
Service Codes MS-DRG 216, Revenue Code 206, HCPCS 99223, HCPCS 93306, HCPCS 70450
Insurance I'm not using insurance
Location Southern Ohio Medical Center
When you contact us, you can say:
"Hi, I'm calling to verify a price for Inpatient major cardiothoracic procedures with cardiac catheterization I found through Southern Ohio Medical Center's price estimate tool. Here are the codes I’m looking at: MS-DRG 216, Revenue Code 206, HCPCS 99223, HCPCS 93306, HCPCS 70450. I'm not using insurance, can you confirm the cash pay estimate and help me schedule if needed?"
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