Under the Affordable Care Act and guidelines established by the United States Department of Health and Human Services, each hospital operating within the United States must make public on the internet in a machine-readable format a list of the hospital’s standard charges for items and services provided by the hospital and the hospital’s standard charges for each diagnosis-related group (“DRG”), updated annually. The hospital’s “chargemaster” is a comprehensive listing of the standard prices established by the hospital for individual services and supplies provided by the hospital, and may be accessed below. The hospital’s average charges for each DRG may be accessed below.
Since payment rates for hospital care provided to insured patients are either negotiated with health plans, set by the federal government for Medicare, or set by state governments for Medicaid enrollees, the payments hospitals receive for patient care do not necessarily reflect the prices reflected in the chargemaster or the hospital’s average DRG charge. Further, uninsured patients are not generally expected to pay the hospital’s standard charges as reflected in the chargemaster, and may be eligible for financial assistance.
If you have private insurance and are interested in understanding what your “out-of-pocket” costs may be for care you receive at the hospital, we encourage you to contact your health insurance company because it is in the best position to help you understand your healthcare financial obligations. For patients with Medicare or Medicaid, or patients without insurance, you may contact the hospital’s patient financial services department for estimates or additional information.
For any assistance regarding this information, please call 972-868-4000.