If you need an MRI or surgery and are wondering what your out-of-pocket cost will be, try our price estimator tool. It’s an interactive experience that walks you through 300 different types of services and estimates your cost based on your specific insurance plan. It will also estimate your cost if you don’t have insurance or are paying cash. Your privacy is protected as no personal information is collected when using the estimation tool.Launch Shopping Tool
Questions about your estimate range? Call one of our Claiborne Medical Center patient account representatives at (423) 526-2393. If you already have a physician’s order, we can provide a more exact quote based on your specific insurance plan.
Hospitals are required by the Centers for Medicare and Medicaid Services (CMS) to post “standard charges” on their websites. The gross charge for a medical service or procedure is not the amount patients with or without insurance pay, or that Medicare or other Federal and commercial payers always pay. Your actual cost is determined by the price agreements between hospitals and your insurance plan. For a more accurate estimation of your cost range, please use our interactive estimator tool at the top of this page.
In addition, some services you receive at our hospitals may be provided by other healthcare providers not employed by Covenant Health, such as radiologists, pathologists, and some surgeons. These providers typically bill patients separately and their fees are not part of our “standard charge” listing.
The Medicare and Medicaid Programs: CY 2020 Hospital Outpatient PPS Policy Changes and Payment Rates and Ambulatory Surgical Center Payment System Policy Changes and Payment Rates. Price Transparency Requirements for Hospitals to Make Standard Charges Public Final Rule (“Final Rule”), effective January 1, 2021, requires the Publication of All Standard Charges (45 C.F.R. 180.50) in a machine-readable format.