Beginning January 1, 2019, hospitals must post a listing of their “standard charges” on their facility websites. This new requirement is from the Centers for Medicare and Medicaid Services (CMS), which regulates many aspects of healthcare operations in the U.S. As a service to our communities and to meet CMS guidelines, Claiborne Medical Center has posted our hospital’s “standard charge” listing, which you can access via the link below. The amounts on the “standard charge” listing are the gross charges for a medical service or procedure. They are not the amounts patients with or without insurance pay, or that Medicare or other Federal and commercial payers usually pay.
Patients and insurance companies usually pay a significantly discounted amount compared to standard charges. Also, if you have insurance, higher gross charges at one facility, as compared to another facility, may not change the amount you owe in deductibles, co-pay, co-insurance and out-of-pocket maximum limits. If you are insured, your actual cost is determined by the price agreements between hospitals and your insurance plan.
The “standard charge” listings are Claiborne Medical Center facility charges only. Please contact us at 423-526-2393 if you would like a personalized estimate of what you might expect to pay in out-of-pocket costs.
The services you receive at Claiborne Medical Center are provided by the hospital as well as by other health care providers (such as physicians and other practitioners). These providers typically bill patients separately. Their fees are not part of the “standard charge” listing.
Both the standard charge listing and MS-DRG will open in an Excel spreadsheet.
CPT © 2017 American Medical Association. All rights reserved. CPT is a registered trademark of the American Medical Association. Applicable FARS/DFARS Restrictions Apply to Government Use. Fee schedules, relative value units, conversion factors and/or related components are not assigned by the AMA, are not part of CPT, and the AMA is not recommending their use. The AMA does not directly or indirectly practice medicine or disperse medical services. The AMA assumes no liability for data contained or not contained herein.