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Cost & Estimates

Cost & Estimates2023-12-29T15:49:21-05:00

Estimate Your Medical Costs

CentraState is committed to helping you understand your medical costs.  As part of this commitment, we offer price estimates for the uninsured for most healthcare services provided at our hospitals and outpatient facilities. To receive an estimate of your medical costs:

  • If you have a MyChart account: Log in to access our Price Estimator Tool.
  • If you do not have a MyChart account: Visit our Price Estimator Tool.
  • By phone: Call 1-855-632-6667 to get an estimate by phone. Please have the patient’s name, address and contact information, as well as the procedure or service in question, current procedural terminology (CPT) codes (if available), and insurance plan. Hours: Monday through Friday, 8 am to 4 pm

Please note that price estimates may include a typical range of costs and may vary from patient to patient, depending upon the type of medical service and insurance plan (if any).

Price Estimates are provided in good faith and are subject to change.  There may be additional items not included in the good faith estimate. You have a right to a dispute resolution process if the actual billed charges are more than the expected charges stated in the good faith estimate.  The good faith estimate is not a contract and does not require that the services provided in the estimate be received. Learn more about Good Faith Estimates.

Questions?

Please call 1-855-632-6667 if you have questions about your estimate or if you need assistance with our online tools. Our representatives are available Monday through Friday from 8 am to 4 pm.

Good Faith Estimates

Under the law, healthcare providers need to give patients who don’t have insurance or who are not using insurance an estimate of the bill for medical items and services. You have the right to receive a Good Faith Estimate for the total expected cost of any non-emergency items or services. This includes related costs like medical tests, prescription drugs, equipment, and hospital fees. Keep these points in mind when getting a good faith estimate:

  • Make sure your healthcare provider gives you a Good Faith Estimate in writing at least one business day before your medical service or item. You can also ask your healthcare provider, and any other provider you choose, for a Good Faith Estimate before you schedule an item or service.
  • If you receive a bill that is at least $400 more than your Good Faith Estimate, you can dispute the bill.
  • Make sure to save a copy or picture of your Good Faith Estimate.

Get a Good Faith Estimate for Hospital Services

To request a Good Faith Estimate for any service, call 1-855-632-6667. For questions or more information about your right to a Good Faith Estimate, visit the Centers for Medicare & Medicaid Services website or call 1-800-985-3059.

Financial Resources

Price Transparency

CentraState determines its standard charges for patient items and services through the use of a chargemaster system, which is a list of charges for the components of patient care that go into every patient’s bill. These are the baseline rates for items and services provided at CentraState. The charges listed provide only a general starting point in determining the potential costs of an individual patient’s care at CentraState. This list does not reflect the actual out-of-pocket costs that may be paid by a patient for any particular service. Individuals with questions about their out-of-pocket costs of service and other financial information should contact their insurance company or the hospital for further information.

Price Transparency

Chargemaster

The hospital chargemaster is a comprehensive listing of items billable to a patient or a health insurance provider. This information is not necessarily useful for determining out-of-pocket expenses or comparison shopping between hospitals. Patients seeking an estimate of out-of-pocket expenses prior to receiving care at CentraState, can contact our Insurance Verification line at 732-294-2632.

Chargemaster

Average Charges

A diagnostic related grouping, or DRG, is how Medicare and other health insurance companies determine payment for a patient’s hospital stay. The charges are almost always not the price paid. The assignment of the DRG, based on patient diagnoses, procedures and other factors, determines the fixed amount the insurer will pay.

Inpatient Average Charges

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