Beginning January 1, 2019, the U.S. Department of Health & Human Services and Centers for Medicare & Medicaid Services are requiring hospitals and health systems to post their “current, standard charges.”
- Hospital charges are the amount a hospital bills an insurer for a service. For most patients, hospitals are reimbursed at a level well below charges. Patients covered by commercial insurance products have negotiated rates with hospitals. Patients covered by Medicare or Medicaid programs have hospital reimbursement rates determined by federal and state governments.
- Hospital charges may include bundled procedures, personnel, services and supplies. An example would be room rates that include the space, equipment, nursing personnel and supplies.
- When a patient has the opportunity to shop for medical services, he or she should contact his or her own insurance carrier to understand which costs will be covered and which will be the patient’s responsibility.
- Patients should contact the hospital directly for any further details.
For a complete list of Hospital & Pharmacy Charges click here
For a list of the 25 most common Clinic Charges click here
For the CMS Machine Readable file of Standard Charges click here
For the CMS Required List of 300 Shoppable Services click here
The information provided above is based on our 2024 contractual rates. Please consult your individual insurance plan to ensure coverage prior to having any services provided. Your individual insurance plans rates are subject to all terms, conditions, limitations, and exclusions of your contract at time of service.
