Note that as of January 1, 2019, the U.S. Department of Health & Human Services and Centers for Medicare & Medicaid Services are requiring hospitals to post their “current standard charges.”
Standard charges are the amounts a hospital bills patients and/or insurance companies for the services and procedures performed. However for most patients, hospitals are paid at a level well below standard charges.
Patients covered by commercial insurance companies have negotiated payment rates with hospitals. Patients covered by Medicare or Medicaid programs have payment rates determined by federal and state governments. Patients eligible for financial assistance will also receive lower rates than the standard charges. These payment rates are much lower than standard charges. In non-emergency situations, patients should contact their insurance company to understand the medical costs that they will be responsible to pay.
Keep in mind that this pricing applies only to services provided through the hospital and cannot account for a variety of factors that would alter the final bill including specialty services provided by independent providers’ professional fees (such as radiologists, pathologists or anesthesiologist/CRNA), complications, use of medical devices, length of stay as well as other additional variables such as implants, specialty drugs, or secondary procedures. Please contact your insurance company or our business office to understand your estimated medical costs. For a price estimate, please call our business office at 435.587.1204.
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