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Schedule of Charges/Rates

07/01/2008

Room Rates:

Type of Room Daily Room Rate
Mercy Terrace (Hall 100) Semi Private $207.00
Private Rooms 401 $225.00
Semi-private rooms 201 – 515 $203.00
Semi-private rooms 600 – 630 $235.00

Bedhold: The current daily room rate multiplied by 10 days.

2008 Medicare “A” Coinsurance: $128.00 per day (Days 21-100 in each benefit period)
Medicare “B” Coinsurance: 20% copay (after you meet the $110.00 deductible) 

Physical Therapy Evaluation and Treatments: $45.00 - $55.00 Per Unit (15 minutes)
Occupational Therapy Evaluation and Treatments: $55.00 - $65.00 Per Unit
Speech Pathology Evaluation and Treatment: $120.00 - $165.00 Per Unit

Pharmacy: Billed by Omni Care

Oxygen: Concentrators $87.50 per month
  E-Tank $14.00
  Oxygen tubing connector $  0.88
  Tubing 25Ft $  3.94
  Cannula w/7” Tubing $  0.67

Barber and Beauty Shop:

  Men’s Haircut $10.00
  Women’s Haircut $11.00
  Shampoo & Set $11.00
  Permanent $35.00
  Color $22.00
  Color Rinse $  3.50
  Shampoo $  5.50
  Conditioner $  5.50

Supplies: (Not an all-inclusive list)

Briefs (XL)
Briefs (L)
Briefs (M)
Briefs (S)
Pull On Brief
Slip On Undergarment
Liner Brief – lg
Liner Brief – sm
Undergarment
Disposable wipes
A & D Ointment
$0.88
$0.68
$0.58
$0.51
$1.08
$0.88
$0.26
$0.25
$0.58
$5.86
$0.12
Cleanser, Aloe Vesta
Efferdent
Nebulizer
Neosporin
Perineal Wash
Razor
Slippers
Tissue Facial
Toothbrush
Toothpaste
Toothette oral swab
$1.79
$0.15
$1.58
$1.84
$1.26
$0.40
$1.28
$0.25
$0.42
$1.24
$0.68
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