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?
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
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:
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:
Summary of information to help determine your payment responsibility for the following Observation Service:
(Charge for the service only).
You entered the following information about your benefits:
(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
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.