Inpatient




PricePoint helps you build an Inpatient Services price report in 3 easy steps:
  • Select a Report Type
  • Select an Inpatient Service
  • Select a Hospital
Once you have created your report, you can easily change Services and Hospitals.
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Switch to Hospital Compare to compare pricing information for as many hospitals as you select.

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©2003-2016 WHA Information Center


The Consumer Guide to Payment Responsibility provides a summary of information you need to determine your payment for the following hospital and service:







(This is the median charge for this service at this hospital. This charge does not include physicians fees or other expenses related to the service).

The Consumer Guide will help you understand your payment responsibility.

Are you currently insured?

Yes      No
You should investigate your options and eligibility for coverage:

     Visit the U.S. Government website

     

Or click Continue to continue with the Consumer Guide without coverage

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PricePoint only provides hospital charge information. The physician/professional fees are not included in the hospital charges. You will need to contact your physician for an estimate of their charges.

You will also need information about your plan design (copays, deductibles, etc.) and health care providers in your network. The best way to obtain this is through your insurance company. Additional resources are listed below:

Medicare
Medicaid
Employer/Commercial/Exchange/HMO information
Understanding health insurance

To better understand your payment responsibility, enter information about your Insurer, Copay or Deductible, Co-Insurance Percent, and Out-of-Pocket Maximum:

Insurance Company        
Copay/Deductible   $
Co-Insurance Percent        %
Out-of-Pocket Maximum  $


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Summary of information to help determine your payment responsibility for the following Inpatient service:





  (Charge for the service only).

You entered the following information about your benefits:

Insurer:
Copay/Deductible: $
Co-Insurance Percentage: %
Out-of-Pocket Maximum:        $

Now that you understand the charge for this service you may want to investigate options for health care coverage or financial assistance.

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Now that you understand the various amounts that may contribute to your out-of-pocket expense, we suggest you contact your insurer and provider to confirm the amount you may owe under your benefit plan.

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How does this amount affect the actual amount I will pay?

The charge amount above does not include additional expenses such as physicians fees. Contact the hospital to determine what other providers may be involved. Then contact those providers for additional expense information.

For more information on costs, payment, and coverage, please visit the Consumer Resources page on the PricePoint website.

For information on how to obtain financial assistance from a specific hospital, please click on the hospital's "Hospital Information" tab in PricePoint.



     
(Hospitals often bill an amount less than the full charge due to a contracted arrangement between the hospital and the insurance company. This discount may be substantial.)



How do these amounts affect the actual amount I will pay?

The charge amount above does not include additional expenses such as physicians fees. Contact the hospital to determine what other providers may be involved. Then contact those providers for additional expense information.

You will need to clarify which health care providers are in your network, as charges may increase with out-of-network providers.

Determine your remaining Deductible. You will be responsible to pay at least this amount.
Alternately, you will be responsible for your Copay amount.

The Out-of-Pocket Maximum is a general guide to what your total payment might be, but verify all of these figures with the insurer you have listed.

For more information on costs, payment, and coverage, please visit the Consumer Resources page on the PricePoint website.



     

Inpatient:


Severity of Illness: '1','2','3','4' Discharges Length of Stay (days) Average Charge Average Charge Per Day Median Charge Median Age Percent Male Percent Female
This Facility

NR = 1-4 Discharges (Not Reported)
This report was produced in part by using computer software created, owned and licensed by the 3M Company. All copyrights in and to the 3M™ APR DRG Software, and to the 3M™ APR DRG Classification System(s) (including the selection, coordination and arrangement of all codes) are owned by 3M. All rights reserved.

     

©2003-2016 WHA Information Center

Compare Hospital Prices

Inpatient:



NR = 1-4 Discharges (Not Reported)
This report was produced in part by using computer software created, owned and licensed by the 3M Company. All copyrights in and to the 3M™ APR DRG Software, and to the 3M™ APR DRG Classification System(s) (including the selection, coordination and arrangement of all codes) are owned by 3M. All rights reserved.