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When I call for a pricing estimate, what information do I need to have available?

Before you call, it is a good idea to contact your physician’s office to get the best description possible of the services that you need. Then, if you have insurance, contact your insurance company and make sure that the services required are “covered services” under your specific plan. If they are not “covered”, then you would be considered “uninsured” for these services.

When you call us, please try to have the following information at hand so that we can provide you with our best estimate of your financial responsibility.

  • Description of services needed –  we will need to know as much information as possible about the specific services needed as described by your physician.
  • Type of serves needed – we need to know if you will be admitted to the hospital as an inpatient overnight, or if you are expected to be treated on an outpatient basis.
  • Physician/Specialist Name – example, if you are having surgery, we will want to know the surgeon’s name.
  • If you have insurance, we will also need:
    • Your insurance cared – 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.
    • Policy holder’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.

Can I get an exact pricing quote?

Unfortunately, no. We will do our best to provide you with a pricing range based on our hospital’s historical pricing for comparable services. Price quotes are not guaranteed since the services used to compute the quote can vary from services you received due to treatment, decisions, unforeseen complications, additional tests or services ordered by your physician, and variation in the clinical needs of each patient.

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.

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