Pricing Transparency FAQs

“Pricing transparency” is the term used to describe initiatives in the health care industry to provide meaningful pricing information to consumers. The health care industry is often complex and difficult for consumers to navigate. Pricing transparency is a means of providing consumers with price information for common services. Our hospital is committed to presenting pricing information on our hospital website.

Charge information is not necessarily useful for consumers who are “comparison shopping” between hospitals because the descriptions for a service could vary from hospital to hospital, as could the extent of the services included in that description. An actual procedure comprises numerous components from several different departments: room and board, laboratory, other diagnostics, pharmaceuticals, therapies, etc.

A patient who has the specific insurance codes for services requested and available from their physician can better gauge a charge estimate across hospitals. Ask your physician to provide the technical name of the procedure recommended, as well as the specific ICD-10 and CPT codes for the service.

If you are viewing estimates provided on this website, the pricing includes any and all services handled by the staff of the hospital.

Your personal physician or other physicians providing you with services related to your hospital stay or visit will bill you separately. This can include fees related to specialists, anesthesiologists, pathologists, radiologists, and emergency room physicians.

Independent laboratory and radiology services will also bill you separately for reading and interpreting EKGs, X-rays, and lab work.

We refresh the data on our website annually.

Please contact our Patient Financial Advisors at 214-633-4036. We will be happy to try to provide you with a price estimate.

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,” 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 services 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’s name – for example, if you are having surgery, we will want to know the surgeon’s name.

• Your insurance card – 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.

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 because the services used to compute the quote can vary from services you receive due to treatment decisions, unforeseen complications, additional tests or services ordered by your physician, and variations in the clinical needs of each patient.

If you have insurance or other coverage, we will expect you to pay your copayment, coinsurance, and/or deductible upon arrival at the hospital. After your insurance company pays us, we will send you information about any amount you may still owe.

If you are uninsured, we expect payment at time of service (or will work with you to arrange monthly payments) for the estimated cost of your services. If, after your services are received, any additional payment is due, we will send you information about any amount you may still owe. If you receive emergency care and cannot pay for your services, our Patient Financial Advisors will, with your cooperation, evaluate whether you qualify for any assistance.

We accept major credit cards, checks, money orders, and cash.

If you are insured, a claim will be sent to your insurance company. After they receive the claim, the insurance company may contact you for additional information. Please respond to your insurance company’s questions as quickly as possible so payment is not delayed. It usually takes 30-45 days for your insurance company to process your claim. After the claim is processed, we will provide you with information about any amount you may owe.