Mercer Health Patient Accounts office is located in Mercer Health West Campus and provides all billing services for medical services rendered at Mercer County Community Hospital, including anesthesiology services, and at Doctor’s Urgent Care. For all other professional services, you will be billed by the physician or appropriate medical office directly. Payments can be made conveniently made with a credit card by completing a payment consent. Note: Any returned checks will require a $25 fee.

Some of our most common charges can be found below.

Billing Office Telephone Numbers:
419-678-5151 Main Office
419-678-5148 Financial Advisor (self pay/HCAP/payment plans)
419-678-5151 Anesthesia Billing /Caresource/Reynolds&Reynolds
419-678-5121 Medicaid/Worker’s Compensation/UHC/UMR/Crown (Last Name A-K)
419-678-5109 Medicaid Biller/Worker's Compensation/UHC/UMR/Crown (Last Name L-Z)
419-678-5102 Medicare Biller (Last Name A-K)
419-678-5108 Medicare Biller (Last Name L-Z)
419-678-5103 All other Commercial Insurances (Last Name A-K)
419-678-5190 All other Commercial Insurances (Last Name L-Z)
567-890-7144 Mercer Health Medical Group
419-678-5115 Director of Patient Accounts or email ksiefring@Mercer-health.com
Department Fax Number 419-678-5643

Office Hours of Patient Accounts (Billing):
Monday – Friday from 8:00 a.m. to 5:00 p.m. or leave a voicemail after hours with a time for us to contact you. Our Office is located on the 1st Floor next to the Main Lobby of Mercer County Community Hospital 800 W. Main Street, Coldwater, OH 45828 or at West Campus, 810 W. Main St., Coldwater, OH 45828 (2nd parking lot off Briarwood Dr.). Payments can be made in person any time at the registration desk.

Hospital Care Assurance Program (Free Care) and Financial Assistance Program Policies:
We will work with you to help ensure you receive all the financial support for which you may qualify. Under the provisions of section 5112.17 of the Ohio Revised Code, Mercer County Community Hospital shall provide basic, medically necessary, hospital-level services free of charge to any non-Medicaid Ohio resident, who is either covered by Disability Assistance or has a family income at or below the Federal Poverty Guideline on the date of service. This provision is referred to as the Ohio Hospital Care Assurance Program (HCAP). Mercer County Community Hospital has expanded their own Financial Assistance Program to include all billed services excluded by HCAP and a sliding scale discount for incomes above 100% the federal poverty guideline up to 200%. It shall also include all billed services on a single encounter that exceed one year’s family gross income for those that don’t qualify under the poverty guidelines. To apply for such assistance, consumers must complete, sign and return the application located on the back of their statement letters to the Patient Accounts Department, Mercer County Community Hospital, 800 West Main Street, Coldwater, OH 45828 along with proof of income. Applications will be accepted for 3 years from date of first notice to patient on all accounts and only on open balance due from patient accounts beyond three years from date of first notice to patient. Consumer must be able to show proof of income received three months or one year prior to date of service. For assistance in completing, questions regarding the application or to receive a new application, consumers may call our Financial Advisor at 419-678-5148 or Patient Accounts Office at 419-678-5151. Click here to view a printable PDF HCAP/Financial Assistance Program form.

Payment Plans:
Mercer Health does offer interest free payment plans for those situations where payment in full can not be made due to financial situation or unexpected medical expenses. For accounts to be set up on a payment plan, consumers may call our Financial Advisor at 419-678-5148 or the Patient Accounts Office at 419-678-5151 to speak to an account representative. Payment booklets are available to track and remind of payment due dates since the hospital does not send monthly statements.

Credit/Bank Cards:
Mercer Health does accept payment by credit/bank card for VISA, Mastercard and Discover. Payment can be made online, by telephone by calling our Patient Accounts Office at 419-678-5151 or our Financial Advisor at 419-678-5148 or by mailing the completed bottom section of our statement letter to Mercer County Community Hospital 800 W. Main Street, Coldwater, OH 45828. For those customers on a payment plan and upon completion of an authorization form, our office can automatically deduct your monthly payment from your credit/bank card for your convenience.

For an Itemized Listing/Statement of Charges:
For an itemized listing/statement of your detailed charges, consumers can call our Patient Accounts Office at 419-678-5151 or send a written request to Mercer County Community Hospital- Patient Accounts Department, 800 W. Main Street, Coldwater, OH 45828 or fax to 419-678-5643.

Other Billing Agencies:
In addition to the technical billing for all services rendered at Mercer County Community Hospital, our Billing Office also performs the professional billing services for the Emergency Room Physicians, Doctor’s Urgent Care Physicians, Wound Healing Center Nurse Practitioners and the Anesthesiologists. For all other professional services, you will be billed by the physician offices directly. Below are a few of the other common professional services for which you may receive bills.

The Radiologist bill is separately billed by Columbus Radiology and their billing office telephone number is 888-592-6550.

The Pathologist bill is separately billed by Diagnostic Pathology, LLC - Dr. Fishbein and their billing office telephone number is 800-873-7909. The mailing address is 5620 Southwyck Blvd., Toledo, OH 43614.

The Cardiologist bill is separately billed by either Dr. Ranga Inc. - Dr. Kakarla and their billing office number is 419-629-3663. The mailing address is P.O. Box 98, New Bremen, OH 45869 or by Cardio Terra - Dr. Boley and their billign office number is 866-588-3588. The mailing address is 4112 Monroe Rd., Celina, OH 45822.

The Sleep Study Interpretations are billed by either Mercer Physicians Billing Service - Dr. Gutta and their billing office number is 567-890-7144. The mailing address is 950 S. Main St., Celina, OH 45822 or by Dayton Lung & Sleep Medicine and their billing office telephone number is 800-350-0322. The mailing address is P.O. Box 634857 Cincinnati, OH 45263.

Our Most Common Charges

At Mercer Health, we believe you have a right to know how much you or your insurance company may be charged for many of our essential services. The list below contains our charges for room and board, emergency department, operating room, newborn delivery, physical therapy and other procedures.  

We charge 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 admitting and billing staff to determine whether they qualify for discounts. These charges are correct as of April 1, 2019.

Room and Board -- Per Day Charges

  • DAILY ROOM CHARGE526.50
  • INTENSIVE CARE1,290.50
  • NURSERY695.00
  • MATERNITY DAILY ROOM781.50
  • NURSERY SPECIAL CARE1,046.50

Nursing Care -- Per Day Charges

  • LEVEL I272.50
  • LEVEL II381.50
  • LEVEL III490.50
  • LEVEL IV816.50

Operating Room Charges

  • SURGERY LEVEL I 0-30 MINUTES1,995.00
  • LEVEL I EACH ADDITIONAL 15 MINUTES83.00
  • SURGERY LEVEL II 0-30 MINUTES2,717.00
  • LEVEL II EACH ADDITIONAL 15 MINUTES137.00
  • SURGERY LEVEL III 0-30 MINUTES3,007.00
  • LEVEL III EACH ADDITIONAL 15 MINUTES192.00
  • SURGERY LEVEL IV 0-30 MINUTES4,099.00
  • LEVEL IV EACH ADDITIONAL 15 MINUTES202.00
  • SURGERY LEVEL V 0-30 MINUTES4,263.50
  • LEVEL V EACH ADDITIONAL 15 MINUTES219.00
  • ENDOSCOPIES2,360.50

Emergency Department Charges -- Facility Visit Charges

  • LEVEL 1136.00
  • LEVEL 2175.50
  • LEVEL 3259.50
  • LEVEL 4722.50
  • LEVEL 5941.50
  • CRITICAL CARE1,420.00

Emergency Department Charges -- Physician Charges

  • LEVEL 190.50
  • LEVEL 2147.50
  • LEVEL 3218.50
  • LEVEL 4335.00
  • LEVEL 5624.00
  • CRITICAL CARE832.00

Doctor's Care Charges -- Facility Visit Charges

  • LEVEL 150.00
  • LEVEL 279.00
  • LEVEL 391.50
  • LEVEL 4130.00
  • LEVEL 5242.00

Doctor's Care Charges -- Physician Charges

  • LEVEL 115.50
  • LEVEL 234.50
  • LEVEL 351.00
  • LEVEL 473.00
  • LEVEL 5112.50

Laboratory Charges

  • Basic Metabolic Profile224.00
  • BNPeptide256.00
  • CBC with auto diff83.50
  • Comprehensive Profile389.50
  • Creatinine29.50
  • CULTURE BLOOD (Base Charge)145.00
  • CULTURE GENITAL (Base Charge)110.00
  • CULTURE STREP A (Base Charge)52.50
  • CULTURE URINE (Base Charge)112.00
  • Glucose29.50
  • Hemoglobin A1C77.00
  • Lactate, Plasma100.50
  • Lipase102.00
  • Lipid Profile145.00
  • Liver Panel196.50
  • Magnesium102.50
  • PSA116.00
  • PT45.50
  • PTT59.50
  • Sed Rate48.50
  • SGPT/ALT29.50
  • T4, Free106.50
  • TSH116.00
  • Troponin I95.00
  • UCG, Urine Pregnancy51.50
  • Uric Acid44.50
  • Urine Drug Screen88.00
  • Urine Screen with Reflex Micro30.50
  • Venipuncture16.50
  • Vitamin D 25-OH, Total218.00

X-Ray and Radiological Charges

  • Bone Density437.00
  • CT Abdomen with Contrast1,606.50
  • CT Abdomen without Contrast1,474.50
  • CT Abdomen with/without Contrast1,751.00
  • CT Head without Contrast1,202.50
  • CT Pelvis with Contrast1,606.50
  • CT Pelvis without Contrast1,460.50
  • CT Thorax with Contrast1,313.50
  • Mammo Screening208.00
  • Mammo Diagnostic252.50
  • MRI Ankle without Contrast1,971.50
  • MRI Brain without Contrast1,971.50
  • MRI Cervical Spine without Contrast1,971.50
  • MRI Knee without Contrast1,971.50
  • MRI Lumbar Spine with and without Contrast2,168.50
  • MRI Lumbar Spine without Contrast1,971.50
  • MRI Shoulder without Contrast1,971.50
  • Ultrasound Carotid Artery Complete840.00
  • X-ray Abdomen 1 View/KUB182.00
  • X-ray Abdomen Complete Series363.00
  • X-ray Ankle - 3 Views278.00
  • X-ray Cervical Spine - 2/3 Views296.50
  • X-ray Chest PA & Lateral267.50
  • X-ray Chest PA X-ray205.00
  • X-ray Foot - 3 Views284.50
  • X-ray Hand - 3 Views278.00
  • X-ray Hip AP & Lateral258.50
  • X-ray Lumbar Spine - 2/3 Views341.00
  • X-ray Lumbar Spine with Obliques341.00
  • X-ray Pelvis305.00
  • X-ray Shoulder Complete226.50
  • X-ray Shoulder Complete - 2 Views300.50

Cardiology Charges

  • Echo Complete with Doppler without Contrast1292.00
  • EKG 158.00
  • Stress Tredmill 782.50

Pulmonary Therapy Charges

  • ARTERIAL PUNCTURE30.50
  • INITIAL INHALER TX21.00
  • SUBSEQUENT INHALE TX16.50
  • INITIAL NEB TX43.00
  • SUBSEQUENT NEB TX55.00
  • OXIMETRY SINGLE58.00
  • OXYGEN PER SHIFT88.00
  • VENTILATOR PER HR70.50

Pulmonary Function Testing

All PFT will also have interpretive fees from a pulmonologist.

  • SPIROMETRY192.00
  • PRE/POST SPIROMETRY473.50
  • CO DIFFUSION142.50
  • PLETHYSMOGRAPHY157.00
  • COMPLETE PFT773.00

Physical Therapy Charges

  • ELECTRICAL STIMULATION69.50
  • THERAPEUTIC EXERCISE94.50
  • ULTRASOUND63.00
  • GAIT TRAINING74.00
  • EVALUATION - PT LOW INTENSITY132.50
  • EVALUATION - PT MODERATE INTENSITY181.00
  • EVALUATION - PT HIGH INTENSITY229.00
  • MANUAL THERAPY89.50
  • NEUROMUSCULAR RE-EDUCATION74.50
  • THERAPEUTIC ACTIVITIES79.00
  • SELF CARE HOME MANAGEMENT76.50

New Federal Rule Requiring Hospitals to Post “Standard Charges”

 

CMS Final 2019 IPPS Rule (Price Transparency Provision)

On August 2, 2018, the Centers for Medicare and Medicaid Services (CMS) published its final inpatient prospective payment system, or IPPS, Rule for federal fiscal year 2019. The IPPS rule contained a price disclosure provision that will be effective January 1, 2019.

2019 Final IPPS Rule

In its 2019 final IPPS rule, CMS acknowledged chargemaster data is “not helpful to patients for determining what they are likely to pay for a particular service or hospital stay.” 

However, in an effort to continue moving towards disclosure on price transparency, the final rule requires hospitals to make available a list of their current “standard charges” via the internet in a machine-readable format and to update it at least annually.

Mercer Health List of Standard Charges

The information provided via the link below is a list of charges for each inpatient and outpatient service or item provided by Mercer Health, also known as our chargemaster. The charges do not include any related physician fees, unless specifically identified. It is not a helpful tool for patients to comparison shop between hospitals or to estimate what healthcare services are going to cost them out of their own pocket. For example, Mercer Health patient charges are the same for all patients, regardless of commercial insurance, Medicare or Medicaid coverage.  However, the charges do not reflect actual reimbursement from all patients or insurance companies.  Mercer Health’s actual reimbursement depends on a variety of internal and external factors which may include negotiated insurance plan rates, fixed government (federal and state) as well as various discount programs offered by Mercer Health for self-pay patients.  Other factors impacting actual reimbursement could include whether a procedure was performed on an inpatient or outpatient basis, specific provider orders, as well as any potential patient complications or comorbidities. For more information about the cost of your care, please contact our patient accounts representative at 419-678-5151.

Click here to view our current standard charges. We will update the listing periodically as the circumstances warrant.