What is pricing transparency?
“Pricing Transparency” is the term used to describe initiatives in the healthcare industry to provide meaningful pricing information to consumers. The healthcare industry is often complex and difficult for consumers to navigate. Price transparency is a means of providing consumers price information on common services. Our hospital is committed to presenting pricing information on its website in a way that will be easy for the consumer to access and understand, as well as providing other useful information about financial assistance available, definitions of key terminology, and key financial policies.
What services are included in my hospital bill?
What services are excluded from my hospital bill estimate?
How often is the pricing estimate data refreshed?
What does Uninsured mean?
Why can't I rely on the pricing estimates posted on this website?
What if the service I need is not listed here?
What information should I have when calling for a price estimate?
If you are insured, prior to your call, it is important that you contact your insurance company to ensure that the services required are “covered services”. In the event that they are not a covered service under your plan, please refer back to our Uninsured information.
If you have insurance, you will also need:
- Your Insurance Card – please have your card available so that if needed, we can get the following information from you: name of insurance company, type of policy (e.g. HMO, PPO, POS, Indemnity), policy holder’s name, group name and number, policy number, insurance company phone number.
- Policyholder’s Personal Information – it is possible that the insurance company will want us to verify the Social Security Number and date of birth of the person who is named as the primary insurance policy holder.
During your call, we will attempt to verify your specific insurance benefits to provide the most accurate representation of your estimated financial obligation based on your specific coverage.
Can I get an exact pricing quote?
What is expected of patients in terms of payment?
Similar to your visits to your physician’s office, we expect payment at time of service. If you have insurance or other coverage, we will expect you to pay your co-payment, coinsurance and/or deductible upon arrival at the hospital. After your insurance company pays us, we will send you information about any amount you may still owe.
If you are uninsured, we expect payment at time of service (or will work with you to arrange monthly payments) for the estimated price of your services. If, after your services are received, any additional payment is due, we will send you information about any amount you may still owe. If you receive emergency care and cannot pay for your services, with your cooperation, our financial counselors will evaluate whether you qualify for Local and State programs, including County Assistance and Medicaid, or our Charity Discount Policy.
We accept major credit cards, checks, money orders and cash.
How does the insurance billing process work?
If you are insured, a claim will be sent to your insurance company. After they receive the claim, the insurance company may contact you for additional information. Please respond to your insurance company’s questions as quickly as possible so their payment is not delayed. It usually takes 30-45 days for your insurance company to pay your claim. After they pay us, we will provide you with information about any amount you may owe that you did not already pay upon arrival at our facility. Please keep in mind that your policy is a binder between you and your insurance company. If you did not follow your insurance plan’s terms, they may not pay for all or part of your care.
What if I can't pay with insurance?
If your insurance plan does not cover your treatment or you do not have insurance, please do not let this keep you from seeking our help. We can work with you to develop a payment plan to fit your budget or discuss alternative options for financing your care. To learn more about payment options and financial assistance, please give us a call at (800) 722-0100.