Outpatient Surgery




PricePoint helps you build an Outpatient Surgery price report in 3 easy steps:
  • Select a Report Type
  • Select an Outpatient Procedure
  • Select a Facility
Once you have created your report, you can easily change Services and Facilities.
A single facility Report displays prices for a facility, its county, and statewide, along with financial and general information about the facility.
Switch to Facility Compare to compare pricing information for as many facilities as you select.

Select a Report Type



       OR

©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 facility and service:





Please click on one of the following procedure codes:


Are you currently insured?

Yes      No

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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 facility charge information. The physician/professional fees are not included in the facility 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

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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 Outpatient Surgery:







You entered the following information about your benefits:

Insurance Company:
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 facility 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 facility, please click on the facility's "Facility Information" tab in PricePoint.



     
(Facilities often bill an amount less than the full charge due to a contracted arrangement between the facility 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 facility 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.



     

Outpatient Surgery:


WITH NO OTHER PROCEDURES WITH 1+ ADDITIONAL PROCEDURES
Facility Procedure Cases (%) Low Median High Cases (%) Low Median High

     

©2003-2016 WHA Information Center

Compare Outpatient Surgery Prices

Outpatient Surgery:

    WITH NO OTHER PROCEDURES WITH 1+ ADDITIONAL PROCEDURES
Facility Procedure Cases (%) Low Median High Cases (%) Low Median High