Patient Price List
Grand Lake Health System is committed to providing price information to our patients. The following charge information is an estimate of charges for a procedure, service or diagnosis related group inpatient stay based on historical patient usage. Each patient is unique, and the care provided is individualized to the patient’s specific needs. The final patient bill will include charges only for the actual service provided to the patient.
The patient’s financial obligation is impacted by many factors beyond the charges disclosed below. The factors to consider include but are not limited to insurance network status, insurance plan coverage, medical expenditures already this year, the patient’s ability to pay, etc. Please click here for more information concerning financial assistance at Grand Lake Health System.
Need More Information?
Grand Lake Health System employs a Financial Counselor and other resources to help our patients understand their financial obligations. We encourage patients to reach out and ask detailed financial questions, especially before scheduled services. We are here to help patients and their families understand their financial obligations at any time during the treatment process. For more information, please contact our patient financial services staff at 419-394-8389.
Helpful Patient Resources
Estimator Link
In compliance with federal law, CMS-1717-F2, Joint Township District Memorial Hospital (JTDMH) is providing an internet-based estimate tool so patients are able to run a price estimate for an upcoming procedure.
Please note that prices offered are estimates only – procedure costs will vary based on your specific circumstances including health insurance status and changes in coverage; length of time spent in the hospital; additional tests or procedures ordered by your physician; or any unforeseen conditions or circumstances surrounding your care or recovery.
For more information regarding the cost of your care, please contact our patient financial service staff at 419-394-8389.
By clicking the link below, I understand the patient estimate is an estimate of charges for the procedure/service without complications. This estimate, unless specified differently, does not include physician fees or charges for any additional tests ordered for your care. Your final bill will include charges for the actual services provided to you. For questions about your financial obligation, we encourage you to contact your insurance company to verify details of your coverage.
Common Charges
In compliance with state law, Ohio Revised Code Section 3727.12, Grand Lake Health System is providing a price list containing the most common charges for services in the following areas:
- Inpatient Nursing Care
- Birthing Center
- Emergency Center
- Urgent Care
- Surgical Center
- Physical Therapy
- Occupational Therapy
- Pulmonary Therapy
- Medical Imaging
- Laboratory
Grand Lake Health System charges are the same for all patients, regardless of insurance company or coverage. However, the charges do not reflect actual reimbursement from patients or insurance companies. Actual reimbursement is influenced by a variety of internal and external factors, including insurance network status, insurance plan coverage, negotiated health plan rates, fixed government rates, medical expenditures already incurred this plan year and the patient’s ability to pay.
For more information regarding the cost of your care, please contact our patient financial service staff at 419-394-8389.
By clicking the document below, I understand the price list is an estimate of charges for the procedure/service without complications. This estimate, unless specified differently, does not include physician fees or charges for any additional tests ordered for your care. Your final bill will include charges for the actual services provided to you.
Average Inpatient Diagnosis Related Grouping Charges
In compliance with federal law, Joint Township District Memorial Hospital (JTDMH) is providing a list of our average charges for each Inpatient Diagnosis–Related Group (DRG). DRGs are a method that Medicare and some insurance companies use to categorize inpatient stays. The following charge information is an estimate of charges for a diagnosis related group based on historical patient usage. Each patient is unique and the care provided is individualized to the patient’s specific needs. The final patient bill will include charges only for the actual service provided to the patient. For this reason, this document should not be used to accurately estimate or determine the final patient cost of a given hospital service. It is provided for information only.
Grand Lake Health System charges are the same for all patients, regardless of insurance company or coverage. However, the charges do not reflect actual reimbursement from patients or insurance companies. Actual reimbursement is influenced by a variety of internal and external factors, including insurance network status, insurance plan coverage, negotiated health plan rates, fixed government rates, medical expenditures already incurred this plan year and the patient’s ability to pay.
For more information regarding the cost of your care, please contact our patient financial service staff at 419-394-8389.
By clicking the document below, I understand that the following charge information is an estimate of charges for the DRG. This estimate, unless specified differently, does not include physician fees or charges for any additional tests ordered for your care. Your final bill will include charges for the actual services provided to you.
Click here to download the Average Inpatient Diagnosis Related Group Charge Listing
Hospital Standard Charges
In compliance with federal law, CMS-1786-FC, Joint Township District Memorial Hospital (JTDMH) is providing a comprehensive machine-readable file that makes public all standard charge information for all items and services provided by the hospital. This document should not be used to accurately estimate or determine the final patient cost of a given hospital service. It is provided for informational purposes only.
Grand Lake Health System charges are the same for all patients, regardless of insurance company or coverage. However, the charges do not reflect actual reimbursement from patients or insurance companies. Actual reimbursement is influenced by a variety of internal and external factors, including insurance network status, insurance plan coverage, negotiated health plan rates, fixed government rates, medical expenditures already incurred this plan year and the patient’s ability to pay.
Information referenced in this file was valid as of July 1, 2024. These charges may have changed since this date due to new technology, added or eliminated services, goods and/or procedures, changes made by manufacturers or vendors, etc.
For more information regarding the cost of your care, please contact our patient financial service staff at 419-394-8389.
By clicking this document, I understand that the following charge information is an estimate of charges for the procedure/service without complications. This estimate, unless specified differently, does not include physician fees or charges for any additional tests ordered for your care. Your final bill will include charges for the actual services provided to you.
Questions Concerning
Your Hospital Bill
We recognize that hospital bills can often be confusing. You may have additional questions or need help with insurance and billing for inpatient stays or outpatient tests and procedures. You can contact our Patient Accounts Department at 419-394-9521or through our toll free number at 877-564-6897, Monday through Friday during the hours of 8:00 a.m. to 4:30 p.m. For your convenience, we have a variety of payment options available to assist patients in paying their hospital bill. We also accept Visa, MasterCard, Discover and American Express. In addition, as a service to the community, the hospital provides financial assistance to qualified patients. If you do not have insurance or are not able to pay your balance, you may be eligible. Please contact the Patient Accounts Department for further information.
additional resources
The following list of additional resources will help with your insurance and billing questions.
Bureau of Workers Compensation: 800-644-6292
Medicaid Questions: Contact Caseworker
Medicare: 800-633-4227
National Social Security: 800-772-1213
During your stay if you were visited by your doctor, a consulting physician requested by your doctor, or had x-rays or an EKG which were interpreted by a specialist, you will be receiving bills for these physicians’ services separate from your hospital bill. These fees are payable directly to the doctor issuing the bill, not the hospital.
